Filed pursuant to Rule 424(b)(5) 
  Registration No. 333-278066     
                   333-278066-01  

Prospectus Supplement
(To Prospectus dated May 14, 2024)
                                 3,400,000,000                                  
                          MSD Netherlands Capital B.V.                          
          (incorporated as a private company with limited liability (           
              besloten vennootschap met beperkte aansprakelijkheid              
          ) under the laws of the Netherlands with its official seat (          
                                statutaire zetel                                
                         ) in Haarlem, the Netherlands)                         
 Guaranteed on an unsecured senior basis by Merck & Co., Inc., Rahway, N.J., USA
                       850,000,000 3.250% Notes due 2032                        
                       850,000,000 3.500% Notes due 2037                        
                       850,000,000 3.700% Notes due 2044                        
                       850,000,000 3.750% Notes due 2054                        

  
  

MSD Netherlands Capital B.V. (the "Issuer"), a wholly-owned finance subsidiary 
of Merck & Co., Inc., Rahway, N.J., USA ("Parent"), is offering 850,000,000 
aggregate principal amount of its 3.250% Notes due 2032 (the "2032 notes"), 
850,000,000 aggregate principal amount of its 3.500% Notes due 2037 (the "2037 
notes"), 850,000,000 aggregate principal amount of its 3.700% Notes due 2044 
(the "2044 notes") and 850,000,000 aggregate principal amount of its 3.750% 
Notes due 2054 (the "2054 notes"). The 2032 notes, the 2037 notes, the 2044 
notes and the 2054 notes are referred to collectively as the "notes."
Interest on the notes is payable on May 30 of each year, beginning on May 30, 
2025. The 2032 notes will mature on May 30, 2032, the 2037 notes will mature 
on May 30, 2037, the 2044 notes will mature on May 30, 2044 and the 2054 notes 
will mature on May 30, 2054.
The Issuer may redeem some or all of the notes of each series at any time at 
the applicable redemption price set forth in this prospectus supplement under 
the caption "Description of the Notes-Optional Redemption." In addition, the 
notes will be redeemable if certain events occur involving United States and 
Dutch taxation.
The notes will be the Issuer's unsecured senior debt obligations and will be 
fully and unconditionally guaranteed (the "note guarantee"), on an unsecured 
senior basis by Parent. The notes and the note guarantee will rank equally 
with all of the Issuer's and Parent's other unsecured senior indebtedness, 
respectively, from time to time outstanding. The notes will be issued only in 
denominations of 100,000 and integral multiples of 1,000 in excess thereof. 
The notes will not be convertible or exchangeable.

  
  

Investing in the notes involves risks. See "
Risk Factors
" beginning on page
S-
6
of this prospectus supplement and in the documents incorporated by reference 
in this prospectus supplement and the accompanying prospectus.
Neither the Securities and Exchange Commission nor any state securities 
commission has approved or disapproved of these securities or determined if 
this prospectus supplement or the accompanying prospectus is truthful or 
complete. Any representation to the contrary is a criminal offense.

                                                                                       
                 Public Offering      Underwriting                Proceeds,            
                      Price             Discount        Before Expenses, to the Issuer 
                       (1)                                           (1)               
Per 2032 note           99.736 %            0.400 %                    99.336 %        
Total              847,756,000          3,400,000                 844,356,000          
Per 2037 note           99.476 %            0.450 %                    99.026 %        
Total              845,546,000          3,825,000                 841,721,000          
Per 2044 note           99.555 %            0.625 %                    98.930 %        
Total              846,217,500          5,312,500                 840,905,000          
Per 2054 note           99.237 %            0.650 %                    98.587 %        
Total              843,514,500          5,525,000                 837,989,500          

__________________
(1)
Plus accrued interest from May 30, 2024, if settlement occurs after that date.
Interest on the notes will accrue from May 30, 2024. Application will be made 
for the notes to be listed on the New York Stock Exchange. The listing 
application will be subject to approval by the New York Stock Exchange. If 
such a listing is obtained, the Issuer has no obligation to maintain such 
listing and may delist the notes at any time. Currently, there is no public 
market for the notes.
The Issuer expects that delivery of the notes will be made to investors in 
book-entry form only through the facilities of Clearstream Banking
societe anonyme
("Clearstream") and Euroclear Bank SA/NV ("Euroclear") as operator of the 
Euroclear System, on or about May 30, 2024.

  
  

                          Joint Book-Running Managers                           

                                         
Citigroup    BNP PARIBAS    Deutsche Bank

                                  Co-Managers                                   

                           
 HSBC   Mizuho   Santander 


                                                                                                                   
 BBVA   DNB Markets   Societe Generale Corporate & Investment Banking   SMBC   US Bancorp   Wells Fargo Securities 


                                                                                            
 Drexel Hamilton   Penserra Securities LLC   R. Seelaus & Co., LLC   Siebert Williams Shank 

                                  May 16, 2024                                  

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                               TABLE OF CONTENTS                                
Prospectus Supplement

                                                    
About this Prospectus Supplement                  S-
                                                   1
Merck & Co., Inc., Rahway, N.J., USA              S-
                                                   4
Risk Factors                                      S-
                                                   6
Forward-Looking Statements                        S-
                                                  10
Use of Proceeds                                   S-
                                                  12
Capitalization                                    S-
                                                  13
Description of the Notes                          S-
                                                  14
Certain U.S. Federal Tax Consequences             S-
                                                  25
Certain Dutch Tax Consequences                    S-
                                                  33
Underwriting                                      S-
                                                  37
Incorporation of Certain Documents by Reference   S-
                                                  44
Validity of the Notes                             S-
                                                  45
Experts                                           S-
                                                  45

Prospectus

                                                             
About This Prospectus                                       1
Merck & Co., Inc., Rahway, N.J., USA                        2
MSD Netherlands Capital B.V.                                2
Risk Factors                                                3
Forward-Looking Statements                                  3
Use of Proceeds                                             3
Description of Debt Securities Parent May Offer             4
Description of Debt Securities MSD Netherlands May Offer   15
Legal Ownership and Book-Entry Issuance                    26
Plan of Distribution                                       30
Validity of Debt Securities                                32
Experts                                                    32
Where You Can Find More Information                        32
Incorporation of Certain Documents by Reference            33
Enforcement of Judgments                                   34

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                        ABOUT THIS PROSPECTUS SUPPLEMENT                        
The Issuer and Parent have not, and the underwriters have not, authorized 
anyone to provide you with any information other than that contained or 
incorporated by reference in this prospectus supplement, any related free 
writing prospectus prepared by the Issuer and Parent or the accompanying 
prospectus. The Issuer and Parent take no responsibility for, and can provide 
no assurance as to the reliability of any other information that others may 
give you. If the information varies between this prospectus supplement and the 
accompanying prospectus, the information in this prospectus supplement 
supersedes the information in the accompanying prospectus. The Issuer and 
Parent are not making an offer of these securities in any jurisdiction where 
the offer or sale is not permitted. Neither the delivery of this prospectus 
supplement, any related free writing prospectus or the accompanying 
prospectus, nor any sale made hereunder and thereunder, shall under any 
circumstances create any implication that there has been no change in the 
Issuer or Parent's affairs since the date of this prospectus supplement, any 
related free writing prospectus or the accompanying prospectus, regardless of 
the time of delivery of such document or any sale of the securities offered 
hereby and thereby, or that the information contained or incorporated by 
reference herein or therein is correct as of any time subsequent to the date 
of such information. Unless the context requires otherwise, references to the 
"prospectus" in this prospectus supplement and the accompanying prospectus 
mean both this prospectus supplement and the accompanying prospectus combined. 
References in this prospectus supplement and the accompanying prospectus to 
"U.S. dollars," "dollars," "U.S. $" or "$" are to the currency of the United 
States of America; and references to "euros" or "" are to the currency of the 
member states of the European Monetary Union that have adopted or that adopt 
the single currency in accordance with the treaty establishing the European 
Community, as amended by the Treaty on European Union.
The financial information presented or incorporated by reference into this 
prospectus supplement and the accompanying prospectus has been prepared in 
accordance with United States generally accepted accounting principles.
Unless otherwise stated or the context so requires, references in this 
prospectus supplement to (i) the "Company," "we," "us" and "our" are to Merck 
& Co., Inc., Rahway, N.J., USA and its consolidated subsidiaries, including 
the Issuer, (ii) "Parent" are to Merck & Co., Inc., Rahway, N.J., USA, 
excluding its consolidated subsidiaries and (iii) the "Issuer" are to MSD 
Netherlands Capital B.V.
In connection with the issuance of the notes, BNP Paribas (the "Stabilizing 
Manager") (or persons acting on behalf of the Stabilizing Manager) may 
over-allot notes or effect transactions with a view to supporting the price of 
the notes at a level higher than that which might otherwise prevail. This 
stabilizing, if commenced, may be discontinued at any time. However, there is 
no assurance that the Stabilizing Manager (or persons acting on its behalf) 
will undertake stabilization action. Any stabilization action may begin on or 
after the date on which adequate public disclosure of the terms of the offer 
of the notes is made and, if begun, may be ended at any time, but it must end 
no later than the earlier of 30 days after the issue date of the notes and 60 
days after the date of the allotment of the notes. Any stabilization action or 
over-allotment must be conducted by the Stabilizing Manager (or persons acting 
on its behalf) in accordance with all applicable laws and rules. See 
"Underwriting."
     NOTICE TO PROSPECTIVE INVESTORS IN THE EUROPEAN ECONOMIC AREA ("EEA")      
The notes are not intended to be offered, sold or otherwise made available to 
and should not be offered, sold or otherwise made available to any retail 
investor in the EEA. For these purposes, a retail investor means a person who 
is one (or more) of: (i) a retail client as defined in point (11) of Article 
4(1) of Directive 2014/ 65/EU (as amended, "MiFID II"); or (ii) a customer 
within the meaning of Directive (EU) 2016/97 (as amended, the "Insurance 
Distribution Directive"), where that customer would not qualify as a 
professional client as defined in point (10) of Article 4(1) of MiFID II. 
Consequently, no key information document required by Regulation (EU) No. 
1286/2014 (as amended, the "PRIIPs Regulation") for offering or selling the 
notes or otherwise making them available to retail investors in the EEA has 
been prepared; therefore, offering or selling the notes or otherwise making 
them available to any retail investor in the EEA may be unlawful under the 
PRIIPs Regulation.
                                      S-1                                       
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         NOTICE TO PROSPECTIVE INVESTORS IN THE UNITED KINGDOM ("U.K.")         
The notes are not intended to be offered, sold or otherwise made available to 
and should not be offered, sold or otherwise made available to any retail 
investor in the U.K. For these purposes, a retail investor means a person who 
is one (or more) of: (i) a retail client as defined in point (8) of Article 2 
of Regulation (EU) No. 2017/565 as it forms part of domestic law by virtue of 
the European Union (Withdrawal) Act 2018 ("EUWA"); or (ii) a customer within 
the meaning of the provisions of the Financial Services and Markets Act 2000 
(as amended, "FSMA") and any rules or regulations made under the FSMA to 
implement the Insurance Distribution Directive, where that customer would not 
qualify as a professional client as defined in point (8) of Article 2(1) of 
Regulation (EU) No. 600/2014 as it forms part of domestic law by virtue of the 
EUWA. Consequently, no key information document required by Regulation (EU) 
No. 1286/2014 as it forms part of domestic law by virtue of the EUWA (the 
"U.K. PRIIPs Regulation") for offering or selling the notes or otherwise 
making them available to retail investors in the U.K. has been prepared; 
therefore, offering or selling the notes or otherwise making them available to 
any retail investor in the U.K. may be unlawful under the U.K. PRIIPs 
Regulation.
 MIFID II PRODUCT GOVERNANCE/PROFESSIONAL INVESTORS AND ELIGIBLE COUNTERPARTIES 
                                    ("ECPS")                                    
Solely for the purposes of each manufacturer's product approval process, the 
target market assessment in respect of the notes has led to the conclusion 
that: (i) the target market for the notes is eligible counterparties and 
professional clients only, each as defined in MiFID II; and (ii) all channels 
for distribution of the notes to eligible counterparties and professional 
clients are appropriate. Any person subsequently offering, selling or 
recommending the notes (an "EU distributor") should take into consideration 
the manufacturers' target market assessment; however, an EU distributor 
subject to MiFID II is responsible for undertaking its own target market 
assessment in respect of the notes (by either adopting or refining the 
manufacturers' target market assessment) and determining appropriate 
distribution channels.
U.K. MIFIR PRODUCT GOVERNANCE/PROFESSIONAL INVESTORS AND ECPS ONLY TARGET MARKET
Solely for the purposes of the manufacturer's product approval process, the 
target market assessment in respect of the notes has led to the conclusion 
that: (i) the target market for the notes is only eligible counterparties, as 
defined in the FCA Handbook Conduct of Business Sourcebook ("COBS"), and 
professional clients, as defined in Regulation (EU) No 600/2014 as it forms 
part of domestic law of the U.K. by virtue of the EUWA ("U.K. MiFIR") and (ii) 
all channels for distribution of the notes to eligible counterparties and 
professional clients are appropriate. Any person subsequently offering, 
selling or recommending the notes (an "U.K. distributor") should take into 
consideration the manufacturers' target market assessment; however, an U.K. 
distributor subject to the FCA Handbook Product Intervention and Product 
Governance Sourcebook (the "U.K. MiFIR Product Governance Rules") is 
responsible for undertaking its own target market assessment in respect of the 
notes (by either adopting or refining the manufacturers' target market 
assessment) and determining appropriate distribution channels.
                                      S-2                                       
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                            ENFORCEMENT OF JUDGMENTS                            
The Issuer is incorporated under the laws of the Netherlands and has its 
registered seat in the Netherlands.
The United States and the Netherlands currently do not have a treaty providing 
for the reciprocal recognition and enforcement of judgments, other than 
arbitration awards, in civil and commercial matters. Consequently, a final 
judgment for the payment of money rendered by any court in any federal or 
state court in the United States based on civil liability, whether or not 
predicated solely upon U.S. securities laws, would not automatically be 
recognized or enforceable in the Netherlands. In order to obtain a judgment 
which is enforceable in the Netherlands, the claim must be re-litigated before 
a competent Dutch court and the judgment rendered by the foreign court must be 
submitted in the course of such proceedings, in which case the Dutch court 
will have to decide whether and to what extent it, given the circumstances of 
the case, will recognize the foreign judgment. A Dutch court will, under 
current practice, generally grant the same judgment without relitigation on 
the merits if (a) that judgment results from proceedings compatible with the 
Dutch concept of due process, (b) that judgment does not contravene public 
policy (
openbare orde
) of the Netherlands, (c) the jurisdiction of the foreign court rendering that 
judgment has been based on an internationally acceptable ground and (d) the 
judgment by the foreign court is not incompatible with a judgment rendered 
between the same parties by a Dutch court, or with an earlier judgment 
rendered between the same parties by a non-Dutch court in a dispute that 
concerns the same subject and is based on the same cause, provided that the 
earlier judgment qualifies for recognition in the Netherlands, which, inter 
alia, entails that the judgment is enforceable in accordance with the laws of 
its country of origin. According to the Dutch Supreme Court (
Hoge Raad
), this will, inter alia, be lacking when an appeal has been filed which 
suspends the enforceability of the foreign judgment, when the foreign judgment 
was annulled by an appellate court and when the foreign judgment specifies it 
can only be enforced during a certain period that has expired or not yet 
commenced.
Subject to the to the foregoing and provided that service of process occurs in 
accordance with applicable treaties, investors may be able to enforce in the 
Netherlands, judgments in civil and commercial matters obtained from U.S. 
federal or state courts. However, no assurance can be given that such 
judgments will be enforceable. In addition, it is doubtful whether a Dutch 
court would accept jurisdiction and impose civil liability in an original 
action commenced in the Netherlands and predicated solely upon U.S. federal 
securities laws. Moreover, a Dutch court may reduce the amount of damages 
granted by a U.S. court and recognize damages only to the extent that they are 
necessary to compensate actual losses or damages. The enforcement and 
recognition of judgments of U.S. courts in the Netherlands are subject to the 
Dutch rules of civil procedure. Judgments may be rendered in a foreign 
currency but enforcement is executed in euros at the applicable rate of 
exchange. Enforcement of obligations in the Netherlands will be subject to the 
nature of the remedies available in the courts of the Netherlands. Under 
certain circumstances, a Dutch court has the power to stay proceedings (
aanhouden
) or to declare that it has no jurisdiction, if concurrent proceedings are 
being brought elsewhere.
                                      S-3                                       
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                      MERCK & CO., INC., RAHWAY, N.J., USA                      
Company Overview
We are a global health care company that delivers innovative health solutions 
through our prescription medicines, including biologic therapies, vaccines and 
animal health products. Our operations are principally managed on a product 
basis and include two operating segments, Pharmaceutical and Animal Health, 
both of which are reportable segments.
The Pharmaceutical segment includes human health pharmaceutical and vaccine 
products. Human health pharmaceutical products consist of therapeutic and 
preventive agents, generally sold by prescription, for the treatment of human 
disorders. We sell these human health pharmaceutical products primarily to 
drug wholesalers and retailers, hospitals, government agencies and managed 
health care providers such as health maintenance organizations, pharmacy 
benefit managers and other institutions. Human health vaccine products consist 
of preventive pediatric, adolescent and adult vaccines. We sell these human 
health vaccines primarily to physicians, wholesalers, distributors and 
government entities.
The Animal Health segment discovers, develops, manufactures and markets a wide 
range of veterinary pharmaceutical and vaccine products, as well as health 
management solutions and services, for the prevention, treatment and control 
of disease in all major livestock and companion animal species. We also offer 
an extensive suite of digitally connected identification, traceability and 
monitoring products. We sell our products to veterinarians, distributors, 
animal producers, farmers and pet owners.
On June 2, 2021, we completed the spin-off (the "Spin-Off") of products from 
our women's health, biosimilars and established brands businesses into a new, 
independent, publicly traded company named Organon & Co. ("Organon") through a 
distribution of Organon's publicly traded stock to our shareholders. The 
established brands included in the transaction consisted of dermatology, 
non-opioid pain management, respiratory, select cardiovascular products, as 
well as the rest of our diversified brands franchise.
All product or service marks appearing in type form different from that of the 
surrounding text are trademarks or service marks owned, licensed to, promoted 
or distributed by Merck & Co., Inc., Rahway, N.J., USA, its subsidiaries or 
affiliates, except as noted. All other trademarks or services marks are those 
of their respective owners.
Parent is Merck & Co., Inc., Rahway, N.J., USA, and is known as MSD outside 
the United States and Canada. Merck & Co., Inc., Rahway, N.J., USA is not 
affiliated with Merck KGaA, Darmstadt, Germany, which has historically 
operated as EMD Group in the United States.
Parent was incorporated in the State of New Jersey in 1970 and maintains our 
principal offices in Rahway, New Jersey. Our address is 126 East Lincoln 
Avenue, Rahway, New Jersey 07065, and our telephone number is +1 (908) 
740-4000. We have a website that is located at www.msd.com. Information 
available on, or accessible through, our website is not incorporated into this 
prospectus supplement or the accompanying prospectus by reference and should 
not be considered a part of this prospectus supplement or the accompanying 
prospectus.
Issuer Overview
The Issuer was incorporated on April 15, 2024 as a private company with 
limited liability (
besloten vennootschap met beperkte aansprakelijkheid
), under the laws of the Netherlands. The Issuer has its official seat (
statutaire zetel
) in Haarlem, the Netherlands and its registered office is located at 
Waarderweg 39, 2031 BN Haarlem, the Netherlands. The Issuer is registered with 
the Trade Register of the Chamber of Commerce in the Netherlands (
Kamer van Koophandel
) under number 93598734. The LEI of the Issuer is 724500V56VDH8898Q807. The 
Issuer is a wholly-owned finance subsidiary of Parent and has no assets or 
operations other than as related to the issuance, administration and repayment 
of the notes and any other debt securities that the Issuer may issue in the 
future that are fully and unconditionally guaranteed by Parent. The Issuer's 
telephone number is +31-23 5153 153.
                                      S-4                                       
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Summary Financing Structure
Set forth below is a simplified and summarized structure chart indicating the 
entities that are the Issuer and the guarantor of the notes. This structure 
chart is provided for indicative and illustrative purposes only and does not 
reflect certain intermediate companies between Parent and the Issuer and does 
not represent all of Parent's direct or indirect subsidiaries or debt 
obligations. This structure chart should be read in conjunction with the 
information contained in this prospectus supplement and the accompanying 
prospectus.
__________________
*
For illustrative purposes only. Certain intermediate companies between Parent 
and the Issuer are not presented.
**
For additional information regarding indebtedness of Parent and its 
consolidated subsidiaries as of March 31, 2024, see "Capitalization."

                                      S-5                                       
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                                  RISK FACTORS                                  
Before acquiring any of the notes, you should carefully consider the following 
risk factors and the risk factors and assumptions related to us identified or 
described in the Company's Annual Report on Form 10-K for the year ended 
December 31, 2023 incorporated by reference herein, and all other information 
contained or incorporated by reference into this prospectus supplement and the 
accompanying prospectus. The occurrence of any one or more of the foregoing or 
following risks could materially adversely affect your investment in the notes 
or our business, financial condition, results of operations or prospects.
The notes and the note guarantee are obligations exclusively of the Issuer and 
Parent, respectively, and not of Parent's other subsidiaries, and payment to 
holders of the notes will be structurally subordinated to the liabilities of 
Parent's other subsidiaries.
The Issuer has no assets or operations other than as related to the issuance, 
administration and repayment of the notes and any other debt securities that 
the Issuer may issue in the future that are fully and unconditionally 
guaranteed by Parent. The notes are obligations of the Issuer and are not 
guaranteed by any of Parent's other subsidiaries and therefore the notes and 
the note guarantee will be structurally subordinated to all existing and 
future secured and unsecured indebtedness and other liabilities of Parent's 
subsidiaries other than the Issuer. The principal amount of indebtedness of 
Parent's subsidiaries other than the Issuer totaled $1.7 billion as of March 
31, 2024, substantially all of which Parent has guaranteed. The note guarantee 
will be structurally subordinated to such subsidiaries' obligations with 
respect to that indebtedness, and Parent's guarantee of that indebtedness will 
rank
pari passu
with the note guarantee. In addition, Parent's obligations under the note 
guarantee will be structurally subordinated to guarantees by certain of 
Parent's subsidiaries other than the Issuer of Parent's indebtedness. As of 
March 31, 2024, such subsidiaries also guaranteed $1.0 billion aggregate 
principal amount of Parent's existing indebtedness. The terms of the notes, 
the note guarantee and the indenture do not preclude Parent's subsidiaries 
other than the Issuer from incurring debt or other liabilities or providing 
guarantees that will be structurally senior to the notes.
The notes and note guarantee are the Issuer's and Parent's unsecured 
obligations and will be effectively junior to secured indebtedness that the 
Issuer or Parent may incur or issue.
The notes and note guarantee will be unsecured obligations. Holders of any 
secured debt that the Issuer or Parent may incur or issue may foreclose on the 
assets securing such debt, reducing the cash flow from the foreclosed property 
available for payment of unsecured debt, including the notes and the note 
guarantee. Holders of the Issuer's and Parent's secured debt also would have 
priority over unsecured creditors in the event of bankruptcy, liquidation or 
similar proceeding of the Issuer or Parent. In the event of bankruptcy, 
liquidation or similar proceeding of the Issuer or Parent, holders of the 
Issuer's and Parent's secured debt would be entitled to proceed against their 
collateral, and the assets securing that collateral may not be available for 
payment of unsecured debt, including the notes and the note guarantee. As a 
result, the notes and the note guarantee will be effectively junior to any 
secured debt that the Issuer or Parent may incur or issue, to the extent of 
the value of the assets securing such debt.
The Issuer is a finance subsidiary and will depend on Parent or Parent's other 
subsidiaries for funds to meet its obligations under the notes.
The Issuer is a finance subsidiary of Parent that conducts no independent 
operations of its own other than financing activities, and Parent conducts 
substantially all of its operations through its subsidiaries. The Issuer's 
principal sources of funds are its financing activities and the payments to 
the Issuer by other Parent subsidiaries, and a significant portion of Parent's 
source of funds, including funds to make payments pursuant to the note 
guarantee, is dividends, distributions, loans or other payments from its 
subsidiaries. None of the subsidiaries of Parent (other than the Issuer) is 
under any direct obligation to pay or otherwise fund amounts due on the notes 
or the note guarantee, whether in the form of dividends, distributions, loans 
or other payments to Parent. In addition, there may be statutory and 
regulatory limitations on the ability of Parent's subsidiaries to pay 
dividends or make distributions to Parent. If the Issuer has insufficient 
funds from its financing activities and sufficient funds are not able to be 
transferred to Parent or the Issuer from Parent's other subsidiaries, or 
sufficient cash or liquidity is not otherwise available, the
                                      S-6                                       
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Issuer and Parent may not be able to make principal, premium or interest 
payments on outstanding debt, including under the notes and the note guarantee.

Active trading markets for the notes may not develop, which could limit their 
market prices or your ability to sell them.
The notes are new issues of debt securities for which there currently are no 
trading markets. As a result, there can be no assurance that any markets will 
develop for the notes or that you will be able to sell your notes. Although 
the Issuer expects the notes to be listed on the New York Stock Exchange, no 
assurance can be given that the notes will become or remain listed, that a 
trading market for the notes will develop or of the price at which investors 
may be able to sell the notes, if at all. In addition, the Issuer will have no 
obligation to maintain, and may terminate, any listing of the notes on the New 
York Stock Exchange without the consent of the holders of the notes. If any of 
the notes are traded after their initial issuance, they may trade at discounts 
from their initial offering prices depending on prevailing interest rates, the 
markets for similar securities, general economic conditions, our financial 
condition, performance and prospects and other factors. The underwriters have 
advised us that they intend to make a market in each series of notes, but they 
are not obligated to do so. The underwriters may discontinue any market-making 
in the notes at any time at their sole discretion. Accordingly, there can be 
no assurance that a liquid trading market will develop for the notes of any 
series, that you will be able to sell your notes at a particular time or that 
the prices you receive when you sell will be favorable. To the extent active 
trading markets do not develop, the liquidity and trading prices for the notes 
may be harmed. Accordingly, you may be required to bear the financial risk of 
an investment in the notes for an indefinite period of time.
Holders of the notes will receive payments solely in euros except under the 
limited circumstances provided herein.
All payments of interest on and the principal of the notes, including payments 
made upon redemption of the notes, will be made in euros except under the 
limited circumstances provided herein. See "Description of the Notes-Payments 
in Euros." None of the Issuer, Parent, the underwriters, the trustee or the 
paying agent with respect to the notes will be obligated to convert, or to 
assist any registered owner or beneficial owner of notes in converting, 
payments of interest, principal, including upon redemption, or any additional 
amount in euros made with respect to the notes into U.S. dollars or any other 
currency.
Holders of the notes may be subject to certain risks relating to the euro, 
including the effects of foreign currency exchange rate fluctuations, as well 
as possible exchange controls.
The initial investors in the notes will be required to pay for the notes in 
euros. None of Parent, the Issuer or the underwriters will be obligated to 
assist the initial investors in obtaining euros or in converting other 
currencies into euros to facilitate the payment of the purchase price for the 
notes.
An investment in any security denominated in, and all payments with respect to 
which are to be made in, a currency other than the currency of the country in 
which an investor in the notes resides or the currency in which an investor 
conducts its business or activities (the "investor's home currency"), entails 
significant risks not associated with a similar investment in a security 
denominated in the investor's home currency. In the case of the notes offered 
hereby, these risks may include the possibility of:
.
significant changes in rates of exchange between the euro and the investor's 
home currency; and
.
the imposition or modification of foreign exchange controls with respect to 
the euro or the investor's home currency.
We have no control over a number of factors affecting the notes offered hereby 
and foreign exchange rates, including economic, financial and political events 
that are important in determining the existence, magnitude and longevity of 
these risks and their effects. Changes in foreign currency exchange rates 
between two currencies result from the interaction over time of many factors 
directly or indirectly affecting economic and political conditions in the 
countries issuing such currencies, and economic and political developments 
globally and in other relevant countries. Foreign currency exchange rates may 
be affected by, among other factors, existing and expected rates of inflation, 
existing and expected interest rate levels, the balance of payments between 
countries and the extent of
                                      S-7                                       
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governmental surpluses or deficits in various countries. All of these factors 
are, in turn, sensitive to the monetary, fiscal and trade policies pursued by 
the governments of various countries important to international trade and 
finance.
The exchange rates of an investor's home currency for euros and the 
fluctuations in those exchange rates that have occurred in the past are not 
necessarily indicative of the exchange rates or the fluctuations therein that 
may occur in the future. Depreciation of the euro against the investor's home 
currency would result in a decrease in the investor's home currency equivalent 
yield on a note, in the investor's home currency equivalent of the principal 
payable at the maturity of that note and generally in the investor's home 
currency equivalent market value of that note. Appreciation of the euro in 
relation to the investor's home currency would have the opposite effects.
The European Union or one or more of its member states may, in the future, 
impose exchange controls and modify any exchange controls imposed, which 
controls could affect exchange rates, as well as the availability of euros at 
the time of payment of principal of, interest on, or any redemption or 
additional amounts with respect to, the notes.
Furthermore, the indenture is, and the notes and the note guarantee will be, 
governed by the laws of the State of New York. Under New York law, a New York 
state court rendering a judgment on the notes or the note guarantee would be 
required to render the judgment in euros. However, the judgment would be 
converted into U.S. dollars at the exchange rate prevailing on the date of 
entry of the judgment. Consequently, in a lawsuit for payment on the notes or 
the note guarantee, investors would bear currency exchange risk until a New 
York state court judgment is entered, and we cannot predict how long this 
would take. A federal court sitting in New York with diversity jurisdiction 
over a dispute arising in connection with the notes or the note guarantee 
would apply the foregoing New York law. In courts outside of New York, 
investors may not be able to obtain a judgment in a currency other than U.S. 
dollars. For example, a judgment for money in an action based on the notes or 
the note guarantee in many other U.S. federal or state courts ordinarily would 
be rendered in the United States only in U.S. dollars. The date used to 
determine the rate of conversion of euros into U.S. dollars would depend upon 
various factors, including which court renders the judgment and when the 
judgment is rendered.
This description of foreign exchange risks does not describe all the risks of 
an investment in the notes that are denominated or payable in a currency other 
than an investor's home currency. You should consult your own financial, legal 
and tax advisors as to the risks involved in an investment in the notes.
The notes permit the Issuer and Parent to make payments in U.S. dollars if 
either is unable to obtain euros and market perceptions concerning the 
instability of the euro could materially adversely affect the value of the 
notes.
If, as described under "Description of the Notes-Payments in Euros," the euro 
is unavailable to the Issuer or Parent due to the imposition of exchange 
controls or other circumstances beyond their control or if the euro is no 
longer being used by the then member states of the European Monetary Union 
that have adopted the euro as their currency or for the settlement of 
transactions by public institutions of or within the international banking 
community, then all payments in respect of the notes and the note guarantee 
will be made in U.S. dollars until the euro is again available to the Issuer 
or Parent, as applicable, or so used. In such circumstances, the amount 
payable on any date in euros will be converted into U.S. dollars on the basis 
of the then most recently available market exchange rate for euros, as 
determined by the Issuer or Parent, as applicable, in its sole discretion. Any 
payment in respect of the notes or the note guarantee so made in U.S. dollars 
will not constitute an event of default under the notes or the indenture 
governing the notes. There can be no assurance that this exchange rate will be 
as favorable to holders of notes as the exchange rate otherwise determined by 
applicable law. These potential developments, or market perceptions concerning 
these and related issues, could materially adversely affect the value of the 
notes.
Trading in the clearing systems is subject to minimum denomination requirements.
The notes will be issued only in minimum denominations of 100,000 and integral 
multiples of 1,000 in excess thereof. It is possible that the clearing systems 
may process trades which could result in amounts being held in denominations 
smaller than the minimum denominations. If definitive notes are required to be 
issued in relation to such notes in accordance with the provisions of the 
relevant global notes, a holder who does not have the minimum denomination or 
an integral multiple of 1,000 in excess thereof in its account with the 
relevant clearing system at
                                      S-8                                       
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the relevant time may not receive all of its entitlement in the form of 
definitive notes unless and until such time as its holding satisfies the 
minimum denomination requirement.
The notes will initially be held in book-entry form and therefore investors 
must rely on the procedures of Euroclear and Clearstream to exercise any 
rights and remedies.
So long as Euroclear or Clearstream or their common depositary or nominee is 
the registered holder of the notes issued in the form of one or more global 
notes, Euroclear, Clearstream or such common depositary or nominee, as the 
case may be, will be considered the sole owner or holder of the notes 
represented by the global notes for all purposes under the indenture and the 
notes. Payments of principal, interest and premium and additional amounts, if 
any, in respect of the global notes will be made to Euroclear, Clearstream, 
such common depositary or such nominee, as the case may be, as registered 
holder thereof. After payment to the common depositary for Euroclear and 
Clearstream, the Issuer will have no responsibility or liability for the 
payment of interest, principal or other amounts to the owners of book-entry 
interests. Accordingly, if investors own a book-entry interest, they must rely 
on the procedures of Euroclear and Clearstream and, if investors are not 
participants in Euroclear and Clearstream, they must rely on the procedures of 
the participant through which they own their interest, to receive such 
payments or to exercise any other rights and obligations of a holder of notes 
under the indenture.
Unlike the holders of the notes themselves, owners of book-entry interests 
will not have the direct right to act upon the Issuer's solicitations for 
consents, requests for waivers or other actions from holders of the notes. 
Instead, if an investor owns a book-entry interest, it will be permitted to 
act only to the extent it has received appropriate proxies to do so from 
Euroclear and Clearstream. The procedures implemented for the granting of such 
proxies may not be sufficient to enable such investor to vote on a timely 
basis.
Similarly, upon the occurrence of an event of default under the indenture, 
unless and until definitive or certificated registered notes are issued in 
respect of all book-entry interests, if investors own book-entry interests, 
they will be restricted to acting through Euroclear and Clearstream. The 
procedures to be implemented through Euroclear and Clearstream may not be 
adequate to ensure the timely exercise of rights under the notes. See 
"Description of the Notes-Book-Entry System" in this prospectus supplement.

Dutch laws differ from the laws in effect in the United States and may afford 
less protection to holders of our securities. A judgment from a U.S. court may 
not be enforceable in the Netherlands.
The Issuer is incorporated under the laws of the Netherlands. The insolvency 
laws of the Netherlands differ significantly from insolvency proceedings in 
the United States and may not be as favorable to your interests as creditors 
as the laws of the United States or other jurisdictions with which you may be 
familiar. The Issuer has agreed, in accordance with the terms of the indenture 
under which the notes and the note guarantee will be issued, to accept service 
of process in any suit, action or proceeding with respect to the indenture, 
the notes and the note guarantee brought in any federal or state court located 
in New York City by an agent designated for such purpose, and to submit to the 
jurisdiction of such courts in connection with such suits, actions or 
proceedings. However, it may not be possible to enforce court judgments 
obtained in the United States against the Issuer in the Netherlands based on 
the civil liability provisions of the U.S. federal or state securities laws. 
In addition, there is some uncertainty as to whether the courts of the 
Netherlands would recognize or enforce judgments of U.S. courts obtained 
against Parent or its directors or officers or the directors or officers of 
the Issuer based on the civil liability provisions of the U.S. federal or 
state securities laws or hear actions against Parent or those persons based on 
those laws. We have been advised that the United States currently does not 
have a treaty with the Netherlands providing for the reciprocal recognition 
and enforcement of judgments in civil and commercial matters. Therefore, a 
final judgment for the payment of money rendered by any U.S. federal or state 
court based on civil liability, whether or not based solely on U.S. federal or 
state securities laws, would not automatically be enforceable in the 
Netherlands. See "Enforcement of Judgments."
                                      S-9                                       
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                           FORWARD-LOOKING STATEMENTS                           
This prospectus supplement and the accompanying prospectus and any documents 
incorporated by reference herein or therein and oral statements made from time 
to time by us may contain so-called "forward-looking statements" (within the 
meaning of Section 27A of the Securities Act of 1933, as amended, or the 
Securities Act, and Section 21E of the Securities Exchange Act of 1934, as 
amended, or the Exchange Act), all of which are based on management's current 
expectations and are subject to risks and uncertainties which may cause 
results to differ materially from those set forth in the statements. One can 
identify these forward-looking statements by their use of words such as 
"anticipates," "expects," "plans," "will," "estimates," "forecasts," 
"projects" and other words of similar meaning, or negative variations of any 
of the foregoing. One can also identify them by the fact that they do not 
relate strictly to historical or current facts. These statements are likely to 
address our growth strategy, financial results, product approvals, product 
potential, development programs, environmental or other sustainability 
initiatives. One must carefully consider any such statement and should 
understand that many factors could cause actual results to differ materially 
from our forward-looking statements. These factors include inaccurate 
assumptions and a broad variety of other risks and uncertainties, including 
some that are known and some that are not. No forward-looking statement can be 
guaranteed and actual future results may vary materially. Parent and the 
Issuer do not assume the obligation to update any forward-looking statement. 
Parent and the Issuer caution you not to place undue reliance on these 
forward-looking statements. Although it is not possible to predict or identify 
all such factors, important factors that could cause actual results to differ 
materially from those in the forward-looking statements include the following:

.
Competition from generic and/or biosimilar products as our products lose 
patent protection.
.
Increased "brand" competition in therapeutic areas important to our long-term 
business performance.
.
The difficulties and uncertainties inherent in new product development. The 
outcome of the lengthy and complex process of new product development is 
inherently uncertain. A drug candidate can fail at any stage of the process 
and one or more late-stage product candidates could fail to receive regulatory 
approval. New product candidates may appear promising in development but fail 
to reach the market because of efficacy or safety concerns, the inability to 
obtain necessary regulatory approvals, the difficulty or excessive cost to 
manufacture and/or the infringement of patents or intellectual property rights 
of others. Furthermore, the sales of new products may prove to be 
disappointing and fail to reach anticipated levels.
.
Pricing pressures, both in the U.S. and abroad, 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.
.
Changes in government laws and regulations, including laws governing 
intellectual property and the enforcement thereof affecting our business.

.
Efficacy or safety concerns with respect to marketed products, whether or not 
scientifically justified, leading to product recalls, withdrawals or declining 
sales.
.
Significant changes in customer relationships or changes in the behavior and 
spending patterns of purchasers of health care products and services, 
including delaying medical procedures, rationing prescription medications, 
reducing the frequency of physician visits and foregoing health care insurance 
coverage.
.
Legal factors, including product liability claims, antitrust litigation and 
governmental investigations, including tax disputes, environmental concerns 
and patent disputes with branded and generic competitors, any of which could 
preclude commercialization of products or negatively affect the profitability 
of existing products.
.
Cyber-attacks on our or third-party providers' information technology systems, 
which could disrupt our operations.
                                      S-10                                      
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.
Lost market opportunity resulting from delays and uncertainties in the 
approval process of the U.S. Food and Drug Administration and/or foreign 
regulatory authorities.
.
Increased focus on privacy issues in countries around the world, including the 
U.S., the EU and China. The legislative and regulatory landscape for privacy 
and data protection continues to evolve, and there has been an increasing 
amount of focus on privacy and data protection issues with the potential to 
affect directly our business, including laws in a majority of states in the 
U.S. requiring security breach notification.
.
Changes in tax laws, including changes related to the taxation of foreign 
earnings.
.
Changes in accounting pronouncements promulgated by standard-setting or 
regulatory bodies, including the Financial Accounting Standards Board and the 
U.S. Securities and Exchange Commission (the "SEC"), that are adverse to us.
.
Economic factors over which we have no control, including changes in 
inflation, interest rates and foreign currency exchange rates.
This list should not be considered an exhaustive statement of all potential 
risks and uncertainties. See "Risk Factors" above as well as the risk factors 
described in the documents incorporated herein by reference.
                                      S-11                                      
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                                USE OF PROCEEDS                                 
The net proceeds of the offering after giving effect to the underwriting 
discounts and other offering expenses are estimated to be approximately 3.36 
billion. We intend to use the net proceeds of the offering for general 
corporate purposes including, without limitation, to repay outstanding 
indebtedness with upcoming maturities, as well as potentially to fund all or a 
portion of the cash consideration and related fees and expenses payable in 
connection with the Company's acquisition of the aqua business of Elanco 
Animal Health Incorporated pursuant to a definitive agreement entered into on 
February 5, 2024.
                                      S-12                                      
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                                 CAPITALIZATION                                 
The following table sets forth the consolidated capitalization of Parent and 
its subsidiaries at March 31, 2024 on a historical basis and as adjusted to 
reflect the issuance and sale of the notes.

                                                                                            
                                                                        March 31, 2024      
                                                                   Actual       As Adjusted 
                                                                        (in millions)       
Short Term Debt:                                                                            
Loans payable and current portion of long-term debt               $  3,077       $ 3,077    
Long-Term Debt:                                                                             
Long-term debt                                                      31,142            31,142
(1)(2)                                                                                      
3.250% Notes due 2032 offered hereby                                     -               916
(3)(4)                                                                                      
3.500% Notes due 2037 offered hereby                                     -               916
(3)(4)                                                                                      
3.700% Notes due 2044 offered hereby                                     -               916
(3)(4)                                                                                      
3.750% Notes due 2054 offered hereby                                     -               916
(3)(4)                                                                                      
Total debt                                                        $ 34,219            37,883
(5)                                                                                         
Equity:                                                                                     
Total Merck & Co., Inc., Rahway, N.J., USA stockholders' equity   $ 40,364            40,364
Noncontrolling Interests                                                60                60
Total equity                                                        40,424            40,424
Total capitalization                                              $ 74,643            78,307

__________________
(1)
Long-term debt at March 31, 2024 consisted of notes and debentures with 
maturities ranging from 2026 to 2063. In addition, $6.0 billion was available 
for borrowing under Parent's five-year credit facility maturing in May 2028.
(2)
Long-term debt at March 31, 2024 does not include the 3.4 billion
of notes offered hereby.
(3)
Reflects the aggregate principal amount of notes offered hereby and does not 
give effect to unamortized debt discount and debt issuance costs.
(4)
Solely for the purpose of preparing calculations for this table, the 
euro-denominated debt offered hereby has been converted into U.S. dollars 
based on a /$ exchange rate of 1/$1.0773 as of May 10, 2024.
(5)
Total principal amount of debt includes $32.7 billion of Parent debt. The 
balance of total debt was issued by Parent's subsidiaries.
                                      S-13                                      
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                            DESCRIPTION OF THE NOTES                            
In this section, references to (i) the "Issuer," "we," "our" and "us" are to 
MSD Netherlands Capital B.V., and (ii) "Parent" are to Merck & Co., Inc., 
Rahway, N.J., USA, excluding its consolidated subsidiaries.
The following description of the particular terms of the 2032 notes, the 2037 
notes, the 2044 notes and the 2054 notes offered hereby supplements the 
general description of debt securities set forth in the accompanying 
prospectus under "Description of Debt Securities MSD Netherlands May Offer." 
References to the "notes" refer to the 2032 notes, the 2037 notes, the 2044 
notes and the 2054 notes, collectively. We qualify the description of the 
notes by reference to the indenture as described below. The 2032 notes, the 
2037 notes, the 2044 notes and the 2054 notes will each be issued as a 
separate series of debt securities under the indenture.
The 2032 notes will initially be limited to 850,000,000 aggregate principal 
amount and will mature on May 30, 2032. The 2037 notes will initially be 
limited to 850,000,000 aggregate principal amount and will mature on May 30, 
2037. The 2044 notes will initially be limited to 850,000,000 aggregate 
principal amount and will mature on May 30, 2044. The 2054 notes will 
initially be limited to 850,000,000 aggregate principal amount and will mature 
on May 30, 2054.
The notes will be fully and unconditionally guaranteed (the "note guarantee") 
on an unsecured senior basis by Parent.
The notes are unsecured and will rank equally with all our other unsecured and 
unsubordinated indebtedness from time to time outstanding.
The note guarantee is unsecured and will rank equally with all of Parent's 
other unsecured and unsubordinated indebtedness from time to time outstanding. 
The notes are obligations of the Issuer and will not be guaranteed by any of 
Parent's other subsidiaries and therefore the notes and the note guarantee 
will be structurally subordinated to all liabilities of Parent's subsidiaries 
other than the Issuer from time to time outstanding, including any guarantees 
provided by Parent's subsidiaries other than the Issuer. As of March 31, 2024, 
the principal amount of indebtedness of Parent's subsidiaries other than the 
Issuer totaled $1.7 billion and certain of Parent's subsidiaries other than 
the Issuer also guaranteed $1.0 billion aggregate principal amount of Parent's 
indebtedness.
We will issue the notes under an indenture, to be dated as of the issue date 
of the notes (the "base indenture"), among the Issuer, Parent and U.S. Bank 
Trust National Association, as trustee (the "trustee"), as supplemented with 
respect to each series of notes by an officer's certificate establishing the 
terms thereof. In this description of the notes, the term "indenture" refers 
to the base indenture as supplemented separately by the officer's certificate 
for each series of notes. The terms of the notes of each series include those 
stated in the indenture and those made part of the indenture by reference to 
the Trust Indenture Act of 1939, as amended.
The notes will be issued in denominations of 100,000 and integral multiples of 
1,000 in excess thereof.
Application will be made for the notes to be listed on the New York Stock 
Exchange. The listing application will be subject to approval by the New York 
Stock Exchange. If such a listing is obtained, the Issuer has no obligation to 
maintain such listing and may delist the notes at any time.
Elavon Financial Services DAC will initially act as principal paying agent 
(the "paying agent") and U.S. Bank Trust National Association will initially 
act as transfer agent (the "transfer agent"), security registrar (the 
"security registrar") and trustee ("trustee") for the notes. We will enter 
into an issuing and paying agency agreement in relation to the notes between 
us, U.S. Bank Trust National Association, as trustee, transfer agent and 
security registrar and Elavon Financial Services DAC, as principal paying 
agent. Payment of principal and interest on the notes will be made through the 
office of the principal paying agent in Dublin. The terms "principal paying 
agent" and "paying agent" shall include any successors appointed from time to 
time in accordance with the provisions of the issuing and paying agency 
agreement, and any reference to an "agent" or "agents" shall mean any or all 
(as applicable) of such persons.
                                      S-14                                      
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Interest
The notes will bear interest from May 30, 2024.
The 2032 notes will bear interest at a rate of 3.250% per annum, the 2037 
notes will bear interest at a rate of 3.500% per annum, the 2044 notes will 
bear interest at a rate of 3.700% per annum and the 2054 notes will bear 
interest at a rate of 3.750% per annum. Interest on the notes will be payable 
annually in arrears on May 30 of each year, commencing on May 30, 2025, to the 
person in whose name such notes were registered at the close of business on 
the preceding May 15. If any payment date for the notes is not a business day, 
we will make the payment on the next business day, but we will not be liable 
for any additional interest as a result of the delay in payment. With respect 
to the notes, by business day, we mean any Monday, Tuesday, Wednesday, 
Thursday or Friday which is not a day when banking institutions are authorized 
or obligated by law or executive order to be closed in The City of New York, 
London or the Netherlands and, for any place of payment outside of The City of 
New York, London or the Netherlands, in such place of payment, and on which 
the Trans-European Automated Real-time Gross Settlement Express Transfer 
system (the TARGET2 system), or any successor thereto, operates.
With respect to each series of notes, we will compute the amount of interest 
payable on the basis of (i) the actual number of days in the period for which 
interest is being calculated and (ii) the actual number of days from (and 
including) the last date on which interest was paid on the notes of such 
series (or May 30, 2024 if no interest has been paid on the notes of such 
series) to (but excluding) the next scheduled interest payment date. This 
payment convention is referred to as ACTUAL/ACTUAL (ICMA) as defined in the 
rulebook of the International Capital Market Association.
Payments in Euros
Initial holders of notes will be required to pay for the notes in euros, and 
all payments of interest and principal, including payments made upon any 
redemption of the notes, will be payable in euros. If, on or after the date of 
this prospectus supplement, the euro is unavailable to us or Parent due to the 
imposition of exchange controls or other circumstances beyond our or Parent's 
control or if the euro is no longer being used by the then member states of 
the European Monetary Union that have adopted the euro as their currency or 
for the settlement of transactions by public institutions of or within the 
international banking community, then all payments in respect of the notes and 
the note guarantee will be made in U.S. dollars until the euro is again 
available to us or Parent, as applicable, or so used. In such circumstances, 
the amount payable on any date in euros will be converted into U.S. dollars on 
the basis of the most recently available market exchange rate for euros, as 
determined by us or Parent, as applicable, in our or Parent's sole discretion. 
Any payment in respect of the notes or the note guarantee so made in U.S. 
dollars will not constitute an event of default under the notes or the 
indenture governing the notes. Neither the trustee nor the paying agent shall 
have any responsibility for any calculation or conversion in connection with 
the foregoing.
Investors will be subject to foreign exchange risks as to payments of 
principal and interest that may have important economic and tax consequences 
to them. See "Risk Factors."
Optional Redemption
Prior to the applicable Par Call Date with respect to a series of notes, each 
such series of notes will be redeemable in whole or in part, at our option at 
any time or from time to time, at a redemption price equal to the greater of 
(i) 100% of the principal amount of the notes to be redeemed or (ii) the sum 
of the present values of the Remaining Scheduled Payments (as defined below) 
(not including any portion of such payment of interest accrued as of the date 
of redemption) discounted to the redemption date (assuming the notes matured 
on the applicable Par Call Date) on an annual basis (ACTUAL/ACTUAL (ICMA)) at 
the applicable Comparable Government Bond Rate (as defined below), plus 15 
basis points with respect to the 2032 notes, the Comparable Government Bond 
Rate plus 15 basis points with respect to the 2037 notes, the Comparable 
Government Bond Rate plus 20 basis points with respect to the 2044 notes and 
the Comparable Government Bond Rate plus 20 basis points with respect to the 
2054 notes, plus, in each case, accrued and unpaid interest on the principal 
amount being redeemed to, but excluding, the redemption date.
                                      S-15                                      
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On or after the Par Call Date with respect to a series of notes, we may redeem 
in whole or in part the notes of such series at any time or from time to time, 
at our option, at a redemption price equal to 100% of the principal amount of 
the applicable notes being redeemed, plus accrued and unpaid interest on the 
principal amount being redeemed to, but excluding, the redemption date.
"Par Call Date" means February 29, 2032, the date that is three months prior 
to the maturity of the 2032 notes, February 28, 2037, the date that is three 
months prior to the maturity of the 2037 notes, November 30, 2043, the date 
that is six months prior to the maturity of the 2044 notes and November 30, 
2053, the date that is six months prior to the maturity of the 2054 notes.
We are required to give notice of redemption at least 10 days', but no more 
than 60 days', prior to the redemption date. The notice will be delivered 
electronically or mailed to the registered address of each holder of that 
series of notes. The principal amount of a note remaining outstanding after a 
redemption in part shall be 100,000 or an integral multiple of 1,000 in excess 
thereof.
Subject to the following paragraph, once notice of redemption is delivered, 
the notes called for redemption will become due and payable on the redemption 
date at the applicable redemption price, plus accrued and unpaid interest 
applicable to such notes to, but excluding, the redemption date.
Any redemption notice may, at the Issuer's discretion, be subject to one or 
more conditions precedent, including completion of a corporate transaction. In 
such event, the related notice of redemption shall describe each such 
condition and, if applicable, shall state that, at our discretion, the date of 
redemption may be delayed until such time (including more than 60 days after 
the notice of redemption was given) as any or all such conditions shall be 
satisfied or waived, or such redemption may not occur and such notice may be 
rescinded in the event that any or all such conditions shall not have been 
satisfied (or waived by the Issuer in its sole discretion) by the date of 
redemption, or by the date of redemption as so delayed.
"Comparable Government Bond Rate" means, with respect to any redemption date, 
the price, expressed as a percentage (rounded to three decimal places, with 
0.0005 being rounded upwards), at which the gross redemption yield on the 
notes to be redeemed, if they were to be purchased at such price on the third 
business day prior to the date fixed for redemption, would be equal to the 
gross redemption yield on such business day of the Comparable Government Bond 
(as defined below) on the basis of the middle market price of the Comparable 
Government Bond prevailing at 11:00 a.m. (London time) on such business day as 
determined by an independent investment bank selected by us.
"Comparable Government Bond" means, in relation to any Comparable Government 
Bond Rate calculation, at the discretion of an independent investment bank 
selected by us, a German federal government bond whose maturity is closest to 
the maturity of the notes to be redeemed (assuming the notes matured on the 
applicable Par Call Date), or if such independent investment bank in its 
discretion determines that such similar bond is not in issue, such other 
German government bond as such independent investment bank may, with the 
advice of three brokers of, and/or market makers in, German government bonds 
selected by us, determine to be appropriate for determining the Comparable 
Government Bond Rate.
"Remaining Scheduled Payments" means, with respect to each note to be 
redeemed, the remaining scheduled payments of principal of and interest on the 
note that would be due after the related redemption date but for the 
redemption. If that redemption date is not an interest payment date with 
respect to a note, the amount of the next succeeding scheduled interest 
payment on the note will be reduced by the amount of interest accrued on the 
note to the redemption date.
If fewer than all of the notes of any series are to be redeemed, the trustee 
will select the particular notes or portions thereof for redemption from the 
outstanding notes not previously called, pro rata or by lot, or in such other 
manner as we will direct each in accordance with the depositary's procedures.
Unless we default in payment of the redemption price, on and after the 
redemption date interest will cease to accrue on the notes or portions thereof 
called for redemption.
The notes are also subject to redemption if certain events occur involving 
United States and Dutch taxation. See "-Taxation Redemption."
                                      S-16                                      
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Additional Amounts
All payments of principal and interest in respect of the notes will be made 
free and clear of, and without deduction or withholding for or on account of 
any present or future taxes, duties, assessments or other governmental charges 
of whatsoever nature imposed, levied, collected, withheld or assessed by the 
United States or the Netherlands or any political subdivision or taxing 
authority of or in the United States or the Netherlands (collectively, 
"Taxes"), unless such withholding or deduction is required by law.
In the event such withholding or deduction of Taxes is required by law, 
subject to the limitations described below, we will pay to the holder of any 
note such additional amounts ("Additional Amounts") as may be necessary in 
order that every net payment received by the beneficial owner of such note of 
principal of or interest or any other amount payable on the notes (including 
upon redemption), after deduction or withholding for or on account of such 
Taxes, will not be less than the amount provided for in such note to be then 
due and payable before deduction or withholding for or on account of such 
Taxes.
However, our obligation to pay Additional Amounts shall not apply to:
(a)
any Taxes which would not have been so imposed but for:
(1) the existence of any present or former connection between such holder or 
beneficial owner (or between a fiduciary, settlor, beneficiary, member or 
shareholder or other equity owner of, or a person having a power over, such 
holder or beneficial owner, if such holder or beneficial owner is an estate, a 
trust, a limited liability company, a partnership, a corporation or other 
entity) and the United States or the Netherlands, including, without 
limitation, such holder or beneficial owner (or such fiduciary, settlor, 
beneficiary, member, shareholder or other equity owner or person having such a 
power) being or having been a citizen or resident or treated as a resident of 
the United States or the Netherlands or being or having been engaged in a 
trade or business in the United States or the Netherlands or being or having 
been present in the United States or the Netherlands or having or having had a 
permanent establishment in the United States or the Netherlands;
(2) the failure of such holder or beneficial owner to comply with any 
certification, information or other reporting requirement, if compliance is 
required under United States or Dutch tax laws and regulations to establish 
entitlement to a partial or complete exemption from such Taxes (including, but 
not limited to, the requirement to provide Internal Revenue Service Form 
W-8BEN, Form W-8BEN-E, Form W-8ECI, or any subsequent versions thereof or 
successor thereto); or
(3) such holder's or beneficial owner's present or former status as a personal 
holding company or a foreign personal holding company with respect to the 
United States, as a controlled foreign corporation with respect to the United 
States, as a passive foreign investment company with respect to the United 
States, as a foreign tax exempt organization with respect to the United States 
or as a corporation which accumulates earnings to avoid United States federal 
income tax;
(b)
any Taxes imposed by reason of the holder or beneficial owner:
(1) owning or having owned, directly or indirectly, actually or constructively, 
10% or more of the total combined voting power of all classes of our stock or 
the stock of Parent, as described in section 871(h)(3) of the Internal Revenue 
Code of 1986, as amended (the "Internal Revenue Code"),
(2) being a bank receiving interest described in section 881(c)(3)(A) of the 
Internal Revenue Code, or
(3) being a controlled foreign corporation with respect to the United States 
that is related to us or Parent by stock ownership;
(c)
any Taxes which would not have been so imposed but for the presentation by the 
holder or beneficial owner of such note for payment on a date more than 30 
days after the date on which such payment became due and payable or the date 
on which payment of the note is duly provided for and notice is given to 
holders,
                                      S-17                                      
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whichever occurs later, except to the extent that the holder or beneficial 
owner would have been entitled to such Additional Amounts on presenting such 
note on any date during such 30-day period;
(d)
any estate, inheritance, gift, sales, excise, transfer, personal property, 
wealth or similar Taxes;
(e)
any Taxes which are payable otherwise than by withholding from a payment on 
such note;
(f)
any Taxes which are payable by a holder that is not the beneficial owner of 
the note, or a portion of the note, or that is a fiduciary, partnership, 
limited liability company or other similar entity, but only to the extent that 
a beneficial owner, a beneficiary or settlor with respect to such fiduciary or 
member of such partnership, limited liability company or similar entity would 
not have been entitled to the payment of an additional amount had such 
beneficial owner, settlor, beneficiary or member received directly its 
beneficial or distributive share of the payment;
(g)
any Taxes required to be withheld by any paying agent from any payment on any 
note, if such payment can be made without such withholding by at least one 
other paying agent;
(h)
any Taxes imposed under Sections 1471 through 1474 of the Internal Revenue 
Code (or any amended or successor provisions), any current or future 
regulations or official interpretations thereof, any agreement entered into 
pursuant to Section 1471(b) of the Code or any fiscal or regulatory 
legislation, rules or practices adopted pursuant to any intergovernmental 
agreements or treaties (and any related legislation, rules, or official 
administrative practices) implementing the foregoing;
(i)
any U.S. federal backup withholding Taxes imposed pursuant to Section 3406 of 
the Internal Revenue Code;
(j)
any Taxes imposed under or in connection with the Dutch Withholding Tax Act 
2021 (Wet bronbelasting 2021) as amended from time to time;
(k)
any combination of items (a), (b), (c), (d), (e), (f), (g), (h), (i) and (j).
For purposes of this section, the acquisition, ownership, disposition, 
enforcement, or holding of, or the receipt of any payment with respect, to a 
note will not constitute a connection (1) between the holder or beneficial 
owner and the United States or the Netherlands or (2) between a fiduciary, 
settlor, beneficiary, member or shareholder or other equity owner of, or a 
person having a power over, such holder or beneficial owner if such holder or 
beneficial owner is an estate, a trust, a limited liability company, a 
partnership, a corporation or other entity and the United States or the 
Netherlands.
Any reference in this prospectus supplement and the prospectus, in the 
indenture or in the notes to principal or interest or other payment on the 
notes shall be deemed to refer also to Additional Amounts which may be payable 
under the provisions of this section.
We will pay all stamp and other duties, if any, which may be imposed by the 
United States or the Netherlands, or any political subdivision thereof or 
taxing authority therein, with respect to the issuance of the notes pursuant 
to this offering.
Except as specifically provided under the heading "-Additional Amounts," we 
will not be required to make any payment with respect to any tax, duty, 
assessment or other governmental charge imposed by any government or any 
political subdivision or taxing authority of or in the United States or the 
Netherlands.
Taxation Redemption
The notes of any series may be redeemed at our option, in whole but not in 
part, at a redemption price equal to 100% of the principal amount of the notes 
of the applicable series to be redeemed, together with interest accrued
                                      S-18                                      
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and unpaid to, but excluding, the redemption date, at any time, on giving not 
less than 10 nor more than 60 days' notice in accordance with "Notices" below 
if:
(a)
we have or will become obligated to pay Additional Amounts as a result of (i) 
any change in or amendment to the laws, regulations or rulings of the United 
States or the Netherlands or any political subdivision or any taxing authority 
of or in the United States or the Netherlands affecting taxation, or (ii) any 
change in or amendment to an official application, interpretation, 
administration or enforcement of such laws, regulations or rulings, which 
change or amendment is announced or becomes effective on or after the date of 
this prospectus supplement; or
(b)
any action shall have been taken by a taxing authority, or any action has been 
brought in a court of competent jurisdiction, in the United States or the 
Netherlands or any political subdivision or taxing authority of or in the 
United States or the Netherlands, including any of those actions specified in 
(a) above, whether or not such action was taken or brought with respect to us, 
or any change, clarification, amendment, application or interpretation of such 
laws, regulations or rulings shall be officially proposed, in any such case on 
or after the date of this prospectus supplement, which results in a 
substantial likelihood that we will be required to pay Additional Amounts on 
the next interest payment date.
However, no such notice of redemption shall be given earlier than 90 days 
prior to the earliest date on which we would be, in the case of a redemption 
for the reasons specified in (a) above, or there would be a substantial 
likelihood that we would be, in the case of a redemption for the reasons 
specified in (b) above, obligated to pay such Additional Amounts if a payment 
in respect of the notes were then due and, at the time such notification of 
redemption is given, such circumstance remains in effect.
Prior to the publication of any notice of redemption pursuant to this section, 
in the case of a redemption for the reasons specified in (a) or (b) above, we 
will deliver to the trustee:
(1)
a certificate signed by one of our duly authorized officers stating that we 
are entitled to effect such redemption and setting forth a statement of facts 
showing that the conditions precedent to our right so to redeem have occurred, 
and
(2)
a written opinion of independent legal counsel of recognized standing to the 
effect that we have or will become obligated to pay such Additional Amounts as 
a result of such change or amendment or that there is a substantial likelihood 
that we will be required to pay such Additional Amounts as a result of such 
action or proposed change, clarification, amendment, application or 
interpretation, as the case may be.
Such notice, once delivered by us to the trustee, will be irrevocable.
Further Issues
We may, without the consent of holders of any series of notes offered by this 
prospectus supplement, issue additional notes having the same ranking and the 
same interest rate, maturity and other terms as the notes of that series. Any 
additional notes of any series, together with the outstanding notes of the 
applicable series, will constitute a single series of notes under the 
indenture. No additional notes may be issued if an event of default has 
occurred and is continuing with respect to the applicable series of notes. 
Additional notes cannot be issued under the same CUSIP, ISIN or Common Code 
number unless the additional notes and original notes are fungible for U.S. 
federal income tax purposes.
Defeasance
The full defeasance and covenant defeasance provisions of the indenture 
described under "Description of Debt Securities MSD Netherlands May 
Offer-Defeasance" in the accompanying prospectus will apply to the notes.

However, any reference to "money and U.S. government or U.S. government agency 
notes or bonds" shall refer to "money (in euros) and Federal Republic of 
Germany obligations." "Federal Republic of Germany obligations" means (1) 
securities that are direct obligations of the Federal Republic of Germany for 
the payment of which its full faith and credit is pledged or (2) obligations 
of a person controlled or supervised by and acting as an
                                      S-19                                      
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agency or instrumentality of the Federal Republic of Germany, the payment of 
which is unconditionally guaranteed as a full faith and credit obligation by 
the Federal Republic of Germany, which, in either case under clauses (1) or 
(2) are not callable or redeemable at the option of the issuer thereof.
Events of Default
The provisions of the indenture described under "Description of Debt 
Securities MSD Netherlands May Offer-Default and Remedies-Events of 
Default-What is an Event of Default?" in the accompanying prospectus will 
apply to the notes. In addition, it will be considered an event of default 
where, for each series of notes, we do not pay Additional Amounts on such 
notes within 30 days after such payment is due.
Any payment in respect of the notes made in U.S. dollars will not constitute 
an event of default under the notes or the indenture governing the notes.
Prescription
Under New York's statute of limitations, any legal action to enforce our 
payment obligations evidenced by the notes or the note guarantee must be 
commenced within six years after the payment thereof is due; thereafter our 
and Parent's payment obligations will generally become unenforceable.
Book-Entry System
Upon issuance, the notes of each series will be represented by one or more 
global notes. Each global note will be deposited with, or on behalf of, a 
common depositary, and registered in the name of the nominee of the common 
depositary for the accounts of Clearstream and Euroclear.
Investors may elect to hold interests in the global notes held by the 
depository through Clearstream Banking,
societe anonyme
, "Clearstream," or Euroclear Bank SA/NV, as operator of the Euroclear System, 
"Euroclear," if they are participants of such systems, or indirectly through 
organizations that are participants in such systems. Clearstream and Euroclear 
will hold interests on behalf of their participants through customers' 
securities accounts in Clearstream's and Euroclear's names on the books of 
their respective depositories. Book-entry interests in the notes and all 
transfers relating to the notes will be reflected in the book-entry records of 
Clearstream and Euroclear. Because holders will acquire, hold and transfer 
security entitlements with respect to the notes through Clearstream, Euroclear 
and their participants, a beneficial holder's rights with respect to the notes 
will be subject to the laws (including Article 8 of the Uniform Commercial 
Code) and contractual provisions governing a holder's relationship with its 
securities intermediary and the relationship between its securities 
intermediary and each other securities intermediary and between it and us, as 
the issuer. Except as set forth below, the global notes may be transferred, in 
whole and not in part, only to another nominee of the depository or to a 
successor of the depository or its nominee.
The distribution of the notes will be cleared through Clearstream and 
Euroclear. Any secondary market trading of book-entry interests in the notes 
will take place through Clearstream and Euroclear participants and will settle 
in same-day funds. Owners of book-entry interests in the notes will receive 
payments relating to their notes in euros.
Clearstream and Euroclear have established electronic securities and payment 
transfer, processing, depositary and custodial links among themselves and 
others, either directly or through custodians and depositaries. These links 
allow the notes to be issued, held and transferred among the clearing systems 
without the physical transfer of certificates. Special procedures to 
facilitate clearance and settlement have been established among these clearing 
systems to trade securities across borders in the secondary market.
The policies of Clearstream and Euroclear will govern payments, transfers, 
exchange and other matters relating to the investor's interest in the notes 
held by them. Neither we nor the trustee have any responsibility for any 
aspect of the records kept by Clearstream or Euroclear or any of their direct 
or indirect participants. Also, neither we nor the trustee supervise these 
systems in any way.
                                      S-20                                      
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Clearstream and Euroclear and their participants perform these clearance and 
settlement functions under agreements they have made with one another or with 
their customers. You should be aware that they are not obligated to perform or 
continue to perform these procedures and may modify them or discontinue them 
at any time.
Ownership of beneficial interests in a global note will be limited to 
institutions that have accounts with the depository or its nominee or persons 
that may hold interests through participants. We have been advised by the 
depository that upon receipt of any payment of principal of, or interest on, a 
global note, the depository will credit, on its book-entry registration and 
transfer system, accounts of participants with payments in amounts 
proportionate to their respective beneficial interests in the principal amount 
of the global notes as shown on the records of the depository. Ownership of 
beneficial interests by participants in the global note will be evidenced only 
by, and the transfer of that ownership interest will be effected only through, 
records maintained by the depository or its nominee. Ownership of beneficial 
interests in the global note by persons that hold through participants will be 
evidenced only by, and the transfer of that ownership interest within such 
participant will be effected only through, records maintained by participants. 
The laws of some jurisdictions require that certain purchasers of securities 
take physical delivery of such securities in definitive form. These laws may 
impair the ability to transfer beneficial interests in the global note.
Payment of principal of, and interest on, any global note registered in the 
name of or held by the depository or its nominee will be made to the 
depository or its nominee, as the case may be, as the registered owner of the 
global note. Payments by participants to owners of beneficial interests in a 
global note held through the participants will be governed by standing 
instructions and customary practices, as is now the case with securities held 
for the accounts of customers registered in "street name," and will be the 
sole responsibility of the participants. None of us, the trustee, the 
underwriters, nor any agent of ours or the trustee will have any responsibility 
or liability for any aspects of the depository's records or any participant's 
records relating to, or payments made on account of, beneficial ownership 
interests in a global note or for maintaining, supervising or reviewing any of 
the depository's records or any participant's records relating to the 
beneficial ownership interests.
No global note may be transferred except as a whole by the depository to a 
nominee of the depository or by a nominee of the depository to the depository 
or another nominee of the depository.
No global note may be exchanged in whole or in part for notes registered, and 
no transfer of a global note in whole or in part may be registered, in the 
name of any person other than the depository or any nominee of the depository 
unless (i) the depository has notified us that it is unwilling or unable to 
continue as depository for such global note or has ceased to be qualified to 
act as such as required by the indenture, (ii) there has occurred and is 
continuing an event of default with respect to the notes or (iii) we determine 
in our sole discretion at any time that the global note shall be so 
exchangeable.
Any global note that is exchangeable pursuant to the preceding sentence shall 
be exchangeable in whole for separate notes in registered form of any 
authorized denomination and of like tenor and aggregate principal amount. 
These notes shall be registered in the name or names of such person or persons 
as the depository instructs the trustee. We expect that these instructions 
would be based upon directions received by the depository from its 
participants with respect to ownership of beneficial interests in such global 
note.
Except in the limited circumstances referred to above, owners of beneficial 
interests in a global note will not be entitled to have such global note 
registered in their names, will not receive or be entitled to receive physical 
delivery of notes in exchange therefor and will not be considered to be the 
owners or holders of such global note for any purpose under the notes or the 
indenture. Accordingly, each person owning a beneficial interest in the global 
note must rely on the procedures of the participant through which such person 
owns its interest to exercise any rights of a holder under the indenture.
The indenture provides that the depository, as a holder, may appoint agents 
and otherwise authorize participants to give or take any request, demand, 
authorization, direction, notice, consent, waiver, or other action which a 
holder is entitled to give or take under the indenture.
                                      S-21                                      
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We have been advised by Clearstream and Euroclear, respectively, as follows:
Clearstream
Clearstream has advised that it is incorporated under the laws of Luxembourg 
and licensed as a bank and professional depositary. Clearstream holds 
securities for its participating organizations and facilitates the clearance 
and settlement of securities transactions among its participants through 
electronic book-entry changes in accounts of its participants, thereby 
eliminating the need for physical movement of certificates. Clearstream 
provides to its participants, among other things, services for safekeeping, 
administration, clearance and settlement of internationally traded securities 
and securities lending and borrowing. Clearstream interfaces with domestic 
markets in several countries. Clearstream has established an electronic bridge 
with the Euroclear Operator (as defined below) to facilitate the settlement of 
trades between the nominees of Clearstream and Euroclear. As a registered bank 
in Luxembourg, Clearstream is subject to regulation by the Luxembourg 
Commission for the Supervision of the Financial Sector. Clearstream customers 
are recognized financial institutions around the world, including 
underwriters, securities brokers and dealers, banks, trust companies, clearing 
corporations and certain other organizations and may include the underwriters. 
Indirect access to Clearstream is also available to others, such as banks, 
brokers, dealers and trust companies that clear through, or maintain a 
custodial relationship with, a Clearstream participant, either directly or 
indirectly.
Distributions with respect to notes held beneficially through Clearstream will 
be credited to cash accounts of Clearstream participants in accordance with 
its rules and procedures.
Euroclear
Euroclear has advised that it was created in 1968 to hold securities for its 
participants and to clear and settle transactions between Euroclear 
participants through simultaneous electronic book-entry delivery against 
payment, thereby eliminating the need for physical movement of certificates 
and any risk from lack of simultaneous transfers of securities and cash. 
Euroclear includes various other services, including securities lending and 
borrowing and interfaces with domestic markets in several countries. Euroclear 
is operated by Euroclear Bank SA/NV (the "Euroclear Operator"). All operations 
are conducted by the Euroclear Operator, and all Euroclear securities 
clearance accounts and Euroclear cash accounts are accounts with the Euroclear 
Operator. Euroclear participants include banks (including central banks), 
securities brokers and dealers and other professional financial intermediaries 
and may include the underwriters. Indirect access to Euroclear is also 
available to other firms that clear through or maintain a custodial 
relationship with a Euroclear participant, either directly or indirectly.

Securities clearance accounts and cash accounts with the Euroclear Operator 
are governed by the Terms and Conditions Governing Use of Euroclear and the 
related operating procedures of Euroclear, and applicable Belgian law 
(collectively, the "Terms and Conditions"). The Terms and Conditions govern 
transfers of securities and cash within Euroclear, withdrawals of securities 
and cash from Euroclear, and receipts of payments with respect to securities 
in Euroclear. All securities in Euroclear are held on a fungible basis without 
attribution of specific certificates to specific securities clearance 
accounts. The Euroclear Operator acts under the Terms and Conditions only on 
behalf of Euroclear participants, and has no records of or relationship with 
persons holding through Euroclear participants.
Distributions with respect to the notes held beneficially through Euroclear 
will be credited to the cash accounts of Euroclear participants in accordance 
with the Terms and Conditions.
Title to book-entry interests in the notes will pass by book-entry 
registration of the transfer within the records of Clearstream, Euroclear or 
the depository, as the case may be, in accordance with their respective 
procedures. Book-entry interests in the notes may be transferred within 
Clearstream and within Euroclear and between Clearstream and Euroclear in 
accordance with procedures established for these purposes by Clearstream and 
Euroclear. Book-entry interests in the notes may be transferred within the 
depository in accordance with procedures established for this purpose by the 
depository. Transfers of book-entry interests in the notes among Clearstream 
and Euroclear and the depository may be effected in accordance with procedures 
established for this purpose by Clearstream, Euroclear and the depository.
                                      S-22                                      
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Secondary market trading between Clearstream participants and/or Euroclear 
participants will occur in the ordinary way in accordance with the applicable 
rules and operating procedures of Clearstream and Euroclear and will be 
settled using the procedures applicable to conventional Eurobonds in 
immediately available funds.
Cross-market transfers between persons holding directly or indirectly through 
the depository on the one hand, and directly or indirectly through Clearstream 
participants or Euroclear participants, on the other, will be effected through 
the depository in accordance with the depository's rules on behalf of the 
relevant European international clearing system by its U.S. depository; 
however, these cross-market transactions will require delivery of instructions 
to the relevant European international clearing system by the counterparty in 
the clearing system in accordance with its rules and procedures and within its 
established deadlines (European time). The relevant European international 
clearing system will, if the transaction meets its settlement requirements, 
deliver instructions to its U.S. depository to take action to effect final 
settlement on its behalf by delivering interests in the notes to or receiving 
interests in the notes from the depository, and making or receiving payment in 
accordance with normal procedures for same-day funds settlement applicable to 
the depository. Clearstream participants and Euroclear participants may not 
deliver instructions directly to their respective U.S. depositories.
Because of time-zone differences, credits of interests in the notes received 
in Clearstream or Euroclear as a result of a transaction with a depository 
participant will be made during subsequent securities settlement processing 
and dated the business day following the depository settlement date. Credits 
of interests or any transactions involving interests in the notes received in 
Clearstream or Euroclear as a result of a transaction with a depository 
participant and settled during subsequent securities settlement processing 
will be reported to the relevant Clearstream participants or Euroclear 
participants on the business day following the depository settlement date. 
Cash received in Clearstream or Euroclear as a result of sales of interests in 
the notes by or through a Clearstream customer or a Euroclear participant to a 
depository participant will be received with value on the depository 
settlement date but will be available in the relevant Clearstream or Euroclear 
cash account only as of the business day following settlement in the 
depository.
You should be aware that investors will only be able to make and receive 
deliveries, payments and other communications involving the notes through 
Clearstream and Euroclear on days when those systems are open for business. 
Those systems may not be open for business on days when banks, brokers and 
other institutions are open for business in the United States.
In addition, because of time-zone differences, there may be problems with 
completing transactions involving Clearstream and Euroclear on the same 
business day as in the United States. U.S. investors who wish to transfer 
their interests in the notes, or to make or receive a payment or delivery of 
the notes, on a particular day, may find that the transactions will not be 
performed until the next business day in Luxembourg or Brussels, depending on 
whether Clearstream or Euroclear is used.
Although the depository, Clearstream and Euroclear have agreed to the 
foregoing procedures in order to facilitate transfers of interests in the 
notes among participants of the depository, Clearstream and Euroclear, they 
are under no obligation to perform or continue to perform the foregoing 
procedures and these procedures may be changed or discontinued at any time.

Governing Law
The indenture, the notes and the note guarantee will be governed by, and 
construed and enforced in accordance with, the laws of the State of New York 
applicable to agreements made or instruments entered into and performed in New 
York State.
Consent to Jurisdiction and Service of Process
The indenture will provide that the Issuer will appoint Parent as agent for 
service of process in any suit, action or proceeding with respect to the 
indenture, the notes or the note guarantee brought in any federal or state 
court located in the Borough of Manhattan in the City, County and State of New 
York and the Issuer and Parent will submit to such jurisdiction.
                                      S-23                                      
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Open Market Purchases
We may at any time and from time to time purchase notes in the open market or 
otherwise.
The Trustee, Paying Agent, Transfer Agent and Security Registrar
U.S. Bank Trust National Association is the trustee, transfer agent and 
security registrar with respect to the notes. U.S. Bank Trust National 
Association currently serves as the trustee with respect to certain of 
Parent's other outstanding debt securities.
Elavon Financial Services DAC is the paying agent with respect to the notes.
                                      S-24                                      
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                     CERTAIN U.S. FEDERAL TAX CONSEQUENCES                      
The following summary describes certain U.S. federal income tax consequences 
and, in the case of a non-U.S. Holder (as defined below), certain U.S. federal 
estate tax consequences, of purchasing, owning and disposing of the notes. 
This summary does not discuss all of the aspects of U.S. federal income and 
estate taxation that may be relevant to you in light of your particular 
investment or other circumstances. This summary applies to you only if you are 
a beneficial owner of a note that holds the note as a capital asset 
(generally, investment property), and you acquire the note for cash in this 
offering for a price equal to the issue price of the notes of the applicable 
series (i.e., the first price at which a substantial amount of the notes of 
the applicable series is sold for money to investors, other than to bond 
houses, brokers, or similar persons or organizations acting in the capacity of 
underwriters, placement agents or wholesalers). In addition, this summary does 
not address special U.S. federal income or estate tax rules that may be 
applicable to certain categories of beneficial owners of notes, such as:

.
dealers in securities or currencies;
.
traders in securities who elect to mark the notes to market for U.S. federal 
income tax purposes;
.
U.S. Holders (as defined below) whose functional currency is not the U.S. 
dollar;
.
persons holding notes as part of a conversion, constructive sale, wash sale or 
other integrated transaction or a hedge, straddle or synthetic security;
.
persons subject to the alternative minimum tax;
.
U.S. expatriates;
.
banks and other financial institutions;
.
insurance companies;
.
controlled foreign corporations, passive foreign investment companies, real 
estate investment trusts and regulated investment companies and shareholders 
of such corporations;
.
entities that are tax-exempt for U.S. federal income tax purposes and 
retirement plans, individual retirement accounts and tax-deferred accounts; and

.
pass-through entities, including partnerships and entities and arrangements 
classified as partnerships for U.S. federal tax purposes, and beneficial 
owners of pass-through entities.
In the case of an entity or arrangement classified as a partnership for U.S. 
federal tax purposes, the U.S. federal income tax treatment of a partner in 
the partnership generally will depend on the status of the partner, the 
activities of the partnership and certain determinations made at the partner 
level. If you are a partnership considering purchasing notes, or a partner in 
such a partnership, you should consult your own tax advisor regarding the U.S. 
federal income and estate tax consequences of purchasing, owning and disposing 
of the notes.
This summary is based on U.S. federal income and estate tax law, including the 
Internal Revenue Code of 1986, as amended (the "Internal Revenue Code"), 
Treasury regulations, administrative rulings and judicial authorities, all as 
in effect or in existence as of the date of this prospectus supplement. 
Subsequent developments in U.S. federal income and estate tax law, including 
changes in law or differing interpretations, which may be applied 
retroactively, could have a material effect on the U.S. federal income and 
estate tax consequences of purchasing, owning and disposing of notes as set 
forth in this summary. We cannot assure you that the Internal Revenue Service 
(the "IRS") will not challenge one or more of the tax consequences described 
in this summary, and we have not obtained, nor do we intend to obtain, any 
ruling from the IRS or opinion of counsel with respect to the tax consequences 
of the purchase, ownership or disposition of the notes. In addition, this 
summary does not discuss any U.S. federal tax consequences other than U.S. 
federal income tax consequences (and, in the case of non-U.S. Holders, U.S. 
federal estate tax consequences), such as gift tax consequences or the 
Medicare tax on certain investment income, or any U.S. state or local income 
or non-U.S. income or other tax consequences.
                                      S-25                                      
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U.S. Holders that use an accrual method of accounting for U.S. federal income 
tax purposes generally are required to include certain amounts in income no 
later than the time such amounts are reflected on certain applicable financial 
statements. The application of this rule may require the accrual of income 
earlier than would be the case under the general U.S. federal income tax rules 
described below. If you are a U.S. Holder that uses an accrual method of 
accounting for U.S. federal income tax purposes, you should consult with your 
tax advisor regarding the potential applicability of this rule to your 
particular situation.
Before you purchase notes, you should consult your own tax advisor regarding 
the particular U.S. federal, state and local and non-U.S. income and other tax 
consequences of purchasing, owning and disposing of the notes that may be 
applicable to you.
Tax Treatment
The Issuer was incorporated as a private company with limited liability under 
the laws of the Netherlands. However, for U.S. federal income tax purposes, 
the Issuer is treated as an entity that is disregarded as separate from a U.S. 
corporation. Accordingly, for U.S. federal income tax purposes, you will 
generally be treated as if you held notes issued by a U.S. corporation (e.g., 
interest on the notes will be treated as U.S.-source income for U.S. federal 
income tax purposes).
U.S. Holders
The following summary applies to you only if you are a U.S. Holder (as defined 
below). A "U.S. Holder" is a beneficial owner of a note that is for U.S. 
federal income tax purposes:
.
an individual citizen or resident of the United States;
.
a corporation (or other entity classified as a corporation for these purposes) 
created or organized in or under the laws of the United States, any state 
thereof or the District of Columbia;
.
an estate, the income of which is subject to U.S. federal income taxation 
regardless of the source of that income; or
.
a trust, if (1) a U.S. court is able to exercise primary supervision over the 
trust's administration and one or more "United States persons" (within the 
meaning of the Internal Revenue Code) have the authority to control all of the 
trust's substantial decisions, or (2) the trust has a valid election in effect 
under applicable Treasury regulations to be treated as a "United States 
person."
Payments of Stated Interest
Stated interest on your notes will be taxed as ordinary interest income. In 
addition:
.
if you use the cash method of accounting for U.S. federal income tax purposes, 
you will have to include stated interest (including any amounts withheld from 
stated interest and additional amounts received with respect thereto) on your 
notes in your gross income at the time you receive the interest; and
.
if you use the accrual method of accounting for U.S. federal income tax 
purposes, you will have to include stated interest (including any amounts 
withheld from stated interest and additional amounts received with respect 
thereto) on your notes in your gross income at the time the interest accrues.

Payments of stated interest on the notes will be denominated in euro, and the 
amount of income that you will be required to include in respect of stated 
interest payments on your notes will depend on your method of accounting for 
U.S. federal income tax purposes. If you are a cash basis U.S. Holder, you 
will be required to include in income the U.S. dollar value of the euro amount 
of interest received (including amounts received upon the disposition of a 
note attributable to accrued but unpaid interest), determined by translating 
such amount into U.S. dollars at the spot exchange rate in effect on the date 
of receipt, regardless of whether the payment is in fact
                                      S-26                                      
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converted into U.S. dollars on such date. A cash basis U.S. Holder generally 
will not recognize any foreign currency gain or loss on receipt of a euro 
interest payment.
If you are an accrual basis U.S. Holder, you will be required to accrue 
interest income on your note in euro and translate the amount accrued into 
U.S. dollars based on the average exchange rate in effect during the interest 
accrual period (or portion thereof within your taxable year). As an 
alternative, if you are an accrual basis U.S. Holder, you may elect to accrue 
interest income at the spot exchange rate in effect on the last day of the 
accrual period (or the spot exchange rate in effect on the last day of your 
taxable year within such accrual period if the accrual period spans more than 
one taxable year) or at the spot exchange rate in effect on the date the 
interest payment is received if such date is within five business days of the 
last day of the accrual period. If you make this election to accrue at the 
spot exchange rate, you must apply the election consistently to all debt 
instruments held by you from year to year and you cannot change the election 
without the consent of the IRS.
If you are an accrual basis U.S. Holder, upon receipt of a euro interest 
payment (including amounts received upon the disposition of a note 
attributable to accrued but unpaid interest), you will be required to 
recognize foreign currency gain or loss in an amount equal to the difference 
(if any) between (i) the U.S. dollar value of such payment determined by 
translating the payment at the spot exchange rate in effect on the date such 
payment of interest (or disposition proceeds attributable to accrued but 
unpaid interest) is received and (ii) the U.S. dollar value of the interest 
income that you previously accrued with respect to such payment of interest 
(or accrued interest), regardless of whether the payment is actually converted 
into U.S. dollars on the date of receipt. Foreign currency gain or loss will 
be treated as ordinary income or loss, and generally as U.S. source income or 
loss for U.S. foreign tax credit purposes. Foreign currency gain or loss with 
respect to payments of interest generally will not be treated as interest 
income or expense.
Interest and additional amounts paid on the notes will be treated as U.S. 
source income for U.S. foreign tax credit purposes. In the event Dutch income 
taxes are withheld from interest payments to you on a note, you should consult 
your tax advisor with regard to the availability of a U.S. foreign tax credit 
(or deduction in lieu of a foreign tax credit) in your particular 
circumstances.
Sale or Other Taxable Disposition of Notes
Upon the sale, redemption, retirement, exchange or other taxable disposition 
of the notes, you generally will recognize taxable gain or loss equal to the 
difference, if any, between:
.
the amount realized on the disposition (less any amount attributable to 
accrued but unpaid stated interest on the notes, which will be taxable as 
ordinary interest income, to the extent not previously included in your gross 
income, in the manner described above under "-Payments of Stated Interest"); 
and
.
your tax basis in the notes.
Your tax basis in your notes generally will be their cost.
Your gain or loss generally will be capital gain or loss, except for gain or 
loss attributable to fluctuations in exchange rates, as described below. This 
capital gain or loss will be long-term capital gain or loss if, at the time of 
the disposition, you have held the notes for more than one year. Subject to 
limited exceptions, your capital losses cannot be used to offset your ordinary 
income. If you are a non-corporate U.S. Holder, under current law your 
long-term capital gain generally will be subject to a preferential rate of 
U.S. federal income tax.
If you are a cash basis U.S. Holder and you receive euro on the disposition of 
a note, your amount realized generally will be the U.S. dollar value of the 
euro received (other than amounts received upon the disposition of a note 
attributable to accrued but unpaid interest), calculated at the spot exchange 
rate in effect on the date of the disposition. However, if the notes are 
traded on an established securities market, you will be required to determine 
the U.S. dollar amount realized by translating the euro received at the spot 
exchange rate in effect on the settlement date of the disposition.
                                      S-27                                      
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If you are an accrual basis U.S. Holder and you receive euro on the 
disposition of a note, your amount realized generally will be the U.S. dollar 
value of the euro amount received (other than amounts received upon the 
disposition of a note attributable to accrued but unpaid interest), calculated 
at the spot exchange rate in effect on the date of the disposition. As an 
alternative, if you are an accrual basis U.S. Holder and the notes are traded 
on an established securities market, you may elect to determine the U.S. 
dollar amount realized by translating the euro received (other than amounts 
received upon the disposition of a note attributable to accrued but unpaid 
interest) at the spot exchange rate in effect on the settlement date of the 
disposition.
In any case where the amount realized is based on the spot exchange rate in 
effect on the date of the disposition, you generally will be required to 
recognize foreign currency gain or loss equal to the difference (if any) 
between (i) the U.S. dollar value of the euro amount realized based on the 
spot exchange rate in effect on the date of the disposition and (ii) the U.S. 
dollar value of the euro amount realized based on the spot exchange rate in 
effect on the settlement date.
If you pay the purchase price for a note in euro, your tax basis in the note 
generally will be the U.S. dollar value of the euro purchase price on the date 
of purchase, calculated at the spot exchange rate in effect on such date. 
However, if the notes are traded on an established securities market and you 
are a cash basis U.S. Holder or an electing accrual basis U.S. Holder, you 
generally will determine the U.S. dollar value of the euro purchase price at 
the spot exchange rate in effect on the settlement date of the purchase.
You will be required to recognize foreign currency gain or loss (if any) 
attributable to a change in exchange rates between the date of your purchase 
of a note and the date of your disposition of the note. Gain or loss 
attributable to a change in exchange rates will equal the difference between 
(i) the U.S. dollar value of your euro purchase price for the note determined 
based on the spot exchange rate in effect on the date that the note is 
disposed of (or possibly, if the notes are traded on an established securities 
market, in the case of a cash basis U.S. Holder or an electing accrual basis 
U.S. Holder, at the spot exchange rate in effect on the settlement date of the 
disposition) and (ii) the U.S. dollar value of your euro purchase price for 
the note determined based on the spot exchange rate in effect on the date that 
you acquired the note. The realization of foreign currency gain or loss with 
respect to principal and accrued interest, in the aggregate, will be limited 
to the amount of overall gain or loss realized on the disposition of the note. 
Foreign currency gain or loss will be treated as ordinary income or loss, and 
generally U.S. source income or loss. Foreign currency gain or loss on a 
disposition of the notes generally will not be treated as interest income or 
expense.
If the notes are traded on an established securities market and you are an 
accrual basis U.S. Holder that makes the election described above to translate 
amounts at the spot exchange rate in effect on the settlement date, you must 
apply such election consistently to all debt instruments held by you from year 
to year and you cannot change the election without the consent of the IRS.
Capital gain or loss, if any, that you recognized on the sale or other taxable 
disposition of a note will generally be treated as U.S. source gain or loss 
for U.S. foreign tax credit purposes. The rules relating to U.S. foreign tax 
credits (or deductions for foreign taxes in lieu of tax credits) are complex 
and their application depends upon your particular circumstances. In the event 
Dutch income taxes are imposed on your disposition of a note, you should 
consult your tax advisor with regard to the availability of a U.S. foreign tax 
credit (or deduction in lieu of a foreign tax credit) in your particular 
circumstances.
Foreign Currency Gain or Loss with Respect to Euro
If you purchase a note with previously owned euro, you will be required to 
recognize foreign currency gain or loss at the time of purchase attributable 
to the difference at the time of purchase (if any) between your tax basis in 
such euro and the fair market value of the note in U.S. dollars on the date of 
your exchange of euro for such note.
Your tax basis in euro received as interest on a note will be the U.S. dollar 
value thereof determined at the spot exchange rate in effect on the date you 
received the euro. Your tax basis in euro realized on the disposition of a 
note will be the U.S. dollar value thereof determined at the spot exchange 
rate in effect on the date of the disposition of the note (or, if the notes 
are traded on an established securities market, and you are a cash basis or 
electing accrual basis U.S. Holder, the settlement date).
                                      S-28                                      
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Upon any subsequent conversion or other disposition of the euro for U.S. 
dollars, you generally will be required to recognize foreign currency gain or 
loss equal to the difference (if any) between the amount of U.S. dollars that 
you receive and your tax basis in the euro.
Disclosure Requirements with Respect to Foreign Currency Loss Transactions
Applicable Treasury regulations require a U.S. Holder to report certain 
transactions that give rise to a foreign currency loss in excess of certain 
thresholds. Under these Treasury regulations, a U.S. Holder that recognizes a 
foreign currency loss with respect to the notes would be required to report 
the loss on IRS Form 8886 (Reportable Transaction Disclosure Statement) if the 
loss exceeds the thresholds set forth in the Treasury regulations ($50,000 in 
the case of individuals or trusts). In addition, these Treasury regulations 
also require a U.S. Holder to report certain other transactions, including 
certain other types of loss transactions. Each U.S. Holder should consult its 
own tax adviser regarding the application of the reportable transaction rules 
to their purchase, ownership and disposition of the notes and the substantial 
penalties for noncompliance.
Information Reporting and Backup Withholding
In general, information reporting requirements may apply to payments to you of 
stated interest on the notes and the proceeds of a sale or other disposition 
(including a retirement or redemption) of the notes.
In general, "backup withholding" (currently at a rate of 24%) may apply:
.
to any payments made to you of stated interest on your note, and
.
to payment of the proceeds of a sale or other disposition (including a 
redemption or retirement) of your note,
if you are a U.S. Holder and you fail to provide a correct taxpayer 
identification number or otherwise comply with applicable requirements of the 
backup withholding rules and you do not otherwise establish an exemption.
Backup withholding is not an additional tax, and any amounts withheld under 
the backup withholding rules may be credited against your U.S. federal income 
tax liability (which may result in your being entitled to a refund of U.S. 
federal income tax), provided the required information is timely provided to 
the IRS.
Non-U.S. Holders
The following summary applies to you if you are a beneficial owner of a note 
and you are neither a U.S. Holder (as defined above) nor an entity or 
arrangement classified as a partnership for U.S. federal tax purposes (a 
"non-U.S. Holder").
U.S. Federal Withholding Tax
Subject to the discussions below regarding backup withholding and FATCA (as 
defined below), U.S. federal withholding tax will generally not apply to 
payments of stated interest on your notes under the "portfolio interest" 
exception of the Internal Revenue Code, provided that:
.
you do not, directly or indirectly, actually or constructively, own ten 
percent or more of the total combined voting power of all classes of our stock 
or the stock of the Issuer (or its owner for U.S. federal income tax purposes) 
entitled to vote within the meaning of Section 871(h)(3) of the Internal 
Revenue Code and the Treasury regulations thereunder;
.
you are not a "controlled foreign corporation" for U.S. federal income tax 
purposes that is related, directly or indirectly, to us or the Issuer (or its 
owner for U.S. federal income tax purposes) through sufficient stock ownership 
(as provided in the Internal Revenue Code);
.
you are not a bank receiving interest described in Section 881(c)(3)(A) of the 
Internal Revenue Code;
                                      S-29                                      
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.
such stated interest is not effectively connected with your conduct of a trade 
or business within the United States; and
.
you provide a signed written statement, on an IRS Form W-8BEN or W-8BEN-E (or 
other applicable form) which can reliably be associated with you, certifying 
under penalties of perjury that you are not a "United States person" within 
the meaning of the Internal Revenue Code, to:
(A)
the applicable withholding agent; or
(B)
a securities clearing organization, bank or other financial institution that 
holds customers' securities in the ordinary course of its trade or business 
and holds your notes on your behalf and that certifies to the applicable 
withholding agent under penalties of perjury that it, or the bank or financial 
institution between it and you, has received from you the signed, written 
statement described above and provides a copy of this statement to the 
applicable withholding agent.
The applicable Treasury regulations provide alternative methods for satisfying 
the foregoing certification requirement. In addition, under these Treasury 
regulations, special rules apply to pass-through entities and this 
certification requirement may also apply to beneficial owners of pass-through 
entities.
If you cannot satisfy the requirements of the "portfolio interest" exception 
described above, payments of stated interest made to you will be subject to 
30% U.S. federal withholding tax unless you provide the applicable withholding 
agent with a properly executed (1) IRS Form W-8ECI (or other applicable form) 
stating that interest paid on your notes is not subject to withholding tax 
because it is effectively connected with your conduct of a trade or business 
within the United States, or (2) IRS Form W-8BEN or W-8BEN-E (or other 
applicable form) claiming an exemption from or reduction in this withholding 
tax under an applicable income tax treaty.
Any gain recognized upon a sale, exchange, retirement, redemption or other 
taxable disposition of a note (other than any amount representing accrued but 
unpaid stated interest paid by us, which is treated as described immediately 
above) generally will not be subject to U.S. federal withholding tax, subject 
to the discussions below regarding backup withholding and FATCA.
U.S. Federal Income Tax
Except for the possible application of U.S. federal withholding tax (see 
above) and backup withholding and FATCA (see below), you generally will not 
have to pay U.S. federal income tax on payments of principal of and stated 
interest on your notes, or on any gain realized from (or accrued stated 
interest treated as received in connection with) the sale, exchange, 
redemption, retirement or other taxable disposition of your notes unless:

.
in the case of stated interest payments or disposition proceeds representing 
accrued stated interest, you cannot satisfy the requirements of the "portfolio 
interest" exception described above (and your U.S. federal income tax 
liability has not otherwise been fully satisfied through the U.S. federal 
withholding tax described above);
.
in the case of gain, you are an individual who is present in the United States 
for 183 days or more during the taxable year of the sale or other disposition 
of your notes (but not treated as a resident of the United States under 
specific rules) and certain other conditions are met (in which case, except as 
otherwise provided by an applicable income tax treaty, the gain, which may be 
offset by U.S. source capital losses, generally will be subject to a flat 30% 
U.S. federal income tax, even though you are not considered a resident of the 
United States under the Internal Revenue Code); or
.
any stated interest or gain is effectively connected with your conduct of a 
trade or business within the United States and, if required by an applicable 
income tax treaty, is attributable to a United States "permanent establishment" 
maintained by you.
If you are engaged in a trade or business within the United States, and stated 
interest or gain in respect of your notes is effectively connected with the 
conduct of your trade or business, the stated interest or gain generally
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will be exempt from U.S. federal withholding tax as described above and 
instead will be subject to U.S. federal income tax on a net basis at the 
regular graduated rates and in the manner applicable to a U.S. Holder (unless 
an applicable income tax treaty provides otherwise). In addition, if you are a 
non-U.S. Holder that is a corporation, you may be subject to a branch profits 
tax equal to 30% of your effectively connected earnings and profits for the 
taxable year, as adjusted for certain items, unless a lower rate applies to 
you under an applicable income tax treaty.
Backup Withholding and Information Reporting
Generally, the applicable withholding agent will be required to report to the 
IRS and to you payments of stated interest on the notes and the amount of U.S. 
federal income tax, if any, withheld with respect to those payments. Copies of 
the information returns reporting such stated interest payments and any 
withholding may also be made available to the tax authorities in the country 
in which you reside under the provisions of a treaty or agreement.
Backup withholding will not apply to payments of stated interest made on the 
notes to you if you have provided to the applicable withholding agent the 
required certification that you are not a "United States person" within the 
meaning of the Internal Revenue Code as described in "-U.S. Federal 
Withholding Tax" above, provided that the applicable withholding agent does 
not have actual knowledge or reason to know that you are a United States 
person.
The gross proceeds from the sale, exchange, retirement, redemption or other 
disposition of your notes may be subject, in certain circumstances discussed 
below, to information reporting and backup withholding (currently at a rate of 
24%). If you sell your notes outside the United States through a non-U.S. 
office of a non-U.S. broker and the sales proceeds are paid to you outside the 
United States, then the backup withholding and information reporting 
requirements generally will not apply to that payment. However, information 
reporting, but not backup withholding, will apply to a payment of sales 
proceeds, even if that payment is made outside the United States, if you sell 
your notes through a non- U.S. office of a broker that is a United States 
person (as defined in the Internal Revenue Code) or has certain enumerated 
connections with the United States, unless the broker has documentary evidence 
in its files that you are not a United States person and certain other 
conditions are met or you otherwise establish an exemption. If you receive 
payment of the proceeds from a sale of your notes through a U.S. office of a 
broker, the payment will be subject to both backup withholding and information 
reporting unless you provide an IRS Form W-8BEN or W-8BEN-E (or other 
applicable form) certifying that you are not a United States person or you 
otherwise establish an exemption, provided that the broker does not have 
actual knowledge, or reason to know, that you are a United States person or 
that the conditions of any other exemption are not, in fact, satisfied. You 
should consult your own tax advisor regarding application of the backup 
withholding rules in your particular circumstances and the availability of and 
procedure for obtaining an exemption from backup withholding.
Backup withholding is not an additional tax, and any amounts withheld under 
the backup withholding rules may be credited against your U.S. federal income 
tax liability (which may result in your being entitled to a refund of U.S. 
federal income tax), provided the required information is timely provided to 
the IRS.
U.S. Federal Estate Tax
Unless otherwise provided in an applicable estate tax or other treaty, if you 
are an individual and are not a U.S. citizen or a resident of the United 
States (as specially defined for U.S. federal estate tax purposes) at the time 
of your death, your notes generally will not be subject to the U.S. federal 
estate tax, unless, at the time of your death:
.
you directly or indirectly, actually or constructively, own ten percent or 
more of the total combined voting power of all classes of our stock or the 
stock of the Issuer (or its owner for U.S. federal income tax purposes) 
entitled to vote within the meaning of section 871(h)(3) of the Internal 
Revenue Code and the Treasury regulations thereunder; or
.
stated interest on your notes is effectively connected with your conduct of a 
trade or business within the United States.
                                      S-31                                      
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Foreign Account Tax Compliance Act
The Foreign Account Tax Compliance Act and related Treasury guidance (commonly 
referred to as "FATCA") impose U.S. federal withholding tax at a rate of 30% 
on payments of (i) U.S.-source interest (including interest paid on the notes) 
and (ii) the gross proceeds from the sale or other disposition of an 
obligation that produces U.S.-source interest (including the sale, exchange, 
redemption, retirement or other taxable disposition of the notes). Under 
proposed Treasury regulations that may be relied upon pending finalization, 
the withholding tax on gross proceeds would be eliminated and, consequently, 
FATCA withholding on gross proceeds is not currently expected to apply. The 
withholding tax applies to a foreign entity, whether acting as a beneficial 
owner or as an intermediary, unless such foreign entity complies with (i) 
certain information reporting requirements regarding its U.S. account holders 
and its U.S. owners and (ii) certain withholding obligations regarding certain 
payments to its account holders and certain other persons. Accordingly, the 
entity through which a U.S. Holder or a non-U.S. Holder holds its notes will 
affect the determination of whether such withholding is required. An 
intergovernmental agreement between the United States and an applicable 
foreign country, or future Treasury regulations or other guidance, may modify 
these requirements. We will not pay any additional amounts to U.S. Holders or 
non-U.S. Holders in respect of any amounts withheld under FATCA. U.S. Holders 
that own their interests in a note through a foreign entity or intermediary, 
and non-U.S. Holders, are encouraged to consult their tax advisors regarding 
FATCA.
THE PRECEDING SUMMARY OF CERTAIN U.S. FEDERAL TAX CONSEQUENCES IS FOR GENERAL 
INFORMATION ONLY AND IS NOT TAX ADVICE. YOU SHOULD CONSULT YOUR OWN TAX 
ADVISOR REGARDING THE PARTICULAR U.S. FEDERAL, STATE, LOCAL AND NON U.S. TAX 
CONSEQUENCES OF PURCHASING, OWNING AND DISPOSING OF NOTES, INCLUDING THE 
CONSEQUENCES OF ANY PROPOSED CHANGES IN APPLICABLE LAWS.
                                      S-32                                      
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                         CERTAIN DUTCH TAX CONSEQUENCES                         
This summary solely addresses the principal Dutch tax consequences of the 
acquisition, ownership and disposal of notes and does not purport to describe 
every aspect of taxation that may be relevant to a particular holder of notes. 
Tax matters are complex, and the tax consequences of the offering to a 
particular holder of notes will depend in part on such holder's circumstances. 
Accordingly, a holder of notes is urged to consult his own tax advisor for a 
full understanding of the tax consequences of the offering to him, including 
the applicability and effect of Dutch tax laws.
Where in this summary English terms and expressions are used to refer to Dutch 
concepts, the meaning to be attributed to such terms and expressions shall be 
the meaning to be attributed to the equivalent Dutch concepts under Dutch tax 
law. Where in this summary the terms "the Netherlands" and "Dutch" are used, 
these refer solely to the European part of the Kingdom of the Netherlands. 
This summary assumes that the Issuer is organized, and that its business will 
be conducted, in the manner outlined in this prospectus supplement. A change 
to such organizational structure or to the manner in which the Issuer conducts 
its business may invalidate the contents of this summary, which will not be 
updated to reflect any such change.
This summary is based on the tax law of the Netherlands (unpublished case law 
not included) as it stands at the date of this prospectus supplement. The tax 
law upon which this summary is based, is subject to changes, possibly with 
retroactive effect. Any such change may invalidate the contents of this 
summary, which will not be updated to reflect such change.
The summary in this section "Certain Dutch Tax Consequences" does not address 
the Dutch tax consequences for a holder of notes who:
(i)
is a person who may be deemed an owner of notes for Dutch tax purposes 
pursuant to specific statutory attribution rules in Dutch tax law;
(ii)
is, although in principle subject to Dutch corporation tax, in whole or in 
part, specifically exempt from that tax in connection with income from notes;

(iii)
is an investment institution as defined in the Dutch Corporation Tax Act 1969;
(iv)
is an entity that, although in principle subject to Dutch corporation tax, is 
fully or partly exempt from Dutch corporation tax;
(v)
owns notes in connection with a membership of a management board or a 
supervisory board, an employment relationship, a deemed employment 
relationship or management role;
(vi)
has a substantial interest in the Issuer or a deemed substantial interest in 
the Issuer for Dutch tax purposes. Generally, a person holds a substantial 
interest if (a) such person - either alone or, in the case of an individual, 
together with his partner or any of his relatives by blood or by marriage in 
the direct line (including foster-children) or of those of his partner for 
Dutch tax purposes - owns or is deemed to own, directly or indirectly, 5% or 
more of the shares or of any class of shares of the Issuer, or rights to 
acquire, directly or indirectly, such an interest in the shares of the Issuer 
or profit participating certificates relating to 5% or more of the annual 
profits or to 5% or more of the liquidation proceeds of the Issuer, or (b) 
such person's shares, rights to acquire shares or profit participating 
certificates in the Issuer are held by him following the application of a 
non-recognition provision; or
(vii)
is for Dutch tax purposes taxable as a corporate entity and resident of Aruba, 
Curacao or Sint Maarten.
Withholding tax
All payments under the notes may be made free from withholding or deduction of 
or for any taxes of whatever nature imposed, levied, withheld or assessed by 
the Netherlands or any political subdivision or taxing
                                      S-33                                      
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authority of or in the Netherlands, except that Dutch withholding tax may 
apply with respect to payments of interest made or deemed to be made by the 
Issuer if the interest payments are made or deemed to be made to a related 
party, which (i) is resident in a low-tax or non-cooperative jurisdiction as 
specifically listed in an annually updated Dutch regulation, (ii) has a 
permanent establishment in any such jurisdiction to which the interest is 
attributable, (iii) is neither resident in the Netherlands nor in a low-tax or 
non-cooperative jurisdiction, and is entitled to the interest with the main 
purpose or one of the main purposes to avoid withholding tax of another 
person, (iv) is a hybrid entity, or (v) is not resident in any jurisdiction, 
within the meaning of the Dutch Withholding Tax Act 2021.
Taxes on income and capital gains
Resident holders of notes
A holder of notes who is resident or deemed to be resident in the Netherlands 
for Dutch tax purposes is fully subject to Dutch income tax if he is an 
individual or fully subject to Dutch corporation tax if it is a corporate 
entity, or an entity, including an association, a partnership and a mutual 
fund, taxable as a corporate entity, as described in the summary below.
Individuals deriving profits or deemed to be deriving profits from an enterprise
Any benefits derived or deemed to be derived from or in connection with notes 
that are attributable to an enterprise from which an individual derives 
profits, whether as an entrepreneur or pursuant to a co-entitlement to the net 
value of an enterprise, other than as a shareholder, are generally subject to 
Dutch income tax at progressive rates up to 49.5%.
Individuals deriving benefits from miscellaneous activities
Any benefits derived or deemed to be derived from or in connection with notes 
that constitute benefits from miscellaneous activities by an individual are 
generally subject to Dutch income tax at progressive rates up to 49.5%.
An individual may,
inter alia
, derive or be deemed to derive benefits from or in connection with notes that 
are taxable as benefits from miscellaneous activities if his investment 
activities go beyond regular active portfolio management.
Other individuals
If a holder of notes is an individual whose situation has not been discussed 
before in this section "-Taxes on income and capital gains-Resident holders of 
notes", the value of his notes forms part of the yield basis for purposes of 
tax on benefits from savings and investments. A deemed benefit, which is 
calculated on the basis of a holder's actual bank savings plus his actual 
other investments (including the value of his notes), minus his actual 
liabilities whilst taking into account a deemed benefit for each of these 
categories, is taxed at the rate of 36%. For the year 2024, the estimated 
deemed benefit rate for actual bank savings is 1.03%, the deemed benefit rate 
for actual other investments is 6.04% and the estimated deemed benefit rate 
for actual liabilities is 2.47%. The estimated deemed return percentages will 
be confirmed later. Actual benefits derived from or in connection with his 
notes are not subject to Dutch income tax.
Corporate entities
Any benefits derived or deemed to be derived from or in connection with notes 
that are held by a corporate entity, or an entity, including an association, a 
partnership and a mutual fund, taxable as a corporate entity, are generally 
subject to Dutch corporation tax.
General
A holder of notes will not be deemed to be resident in the Netherlands for 
Dutch tax purposes by reason only of the execution and/or enforcement of the 
documents relating to the issue of notes or the performance by the Issuer of 
its obligations under such documents or under the notes.
                                      S-34                                      
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Non-resident holders of notes
Individuals
If a holder of notes is an individual who is neither resident nor deemed to be 
resident in the Netherlands for purposes of Dutch income tax, he will not be 
subject to Dutch income tax in respect of any benefits derived or deemed to be 
derived from or in connection with notes, except if:
(i)
he derives profits from an enterprise, whether as an entrepreneur or pursuant 
to a co-entitlement to the net value of such enterprise, other than as a 
shareholder, and such enterprise is carried on, in whole or in part, through a 
permanent establishment or a permanent representative in the Netherlands, and 
his notes are attributable to such permanent establishment or permanent 
representative;
(ii)
he derives benefits or is deemed to derive benefits from or in connection with 
notes that are taxable as benefits from miscellaneous activities performed in 
the Netherlands; or
(iii)
he derives profits pursuant to the entitlement to a share in the profits of an 
enterprise, other than as a holder of securities, which is effectively managed 
in the Netherlands and to which enterprise his notes are attributable.
Corporate entities
If a holder of notes is a corporate entity, or an entity, including an 
association, a partnership and a mutual fund, taxable as a corporate entity, 
which is neither resident nor deemed to be resident in the Netherlands for 
purposes of Dutch corporation tax, it will not be subject to Dutch corporation 
tax in respect of any benefits derived or deemed to be derived from or in 
connection with notes, except if:
(i)
it derives profits from an enterprise directly which is carried on, in whole 
or in part, through a permanent establishment or a permanent representative in 
the Netherlands, and to which permanent establishment or permanent 
representative its notes are attributable; or
(ii)
it derives profits pursuant to a co-entitlement to the net value of an 
enterprise which is managed in the Netherlands, other than as a holder of 
securities, and to which enterprise its notes are attributable.
General
If a holder of notes is neither resident nor deemed to be resident in the 
Netherlands, such holder will for Dutch tax purposes not carry on or be deemed 
to carry on an enterprise, in whole or in part, through a permanent 
establishment or a permanent representative in the Netherlands by reason only 
of the execution and/or enforcement of the documents relating to the issue of 
notes or the performance by the Issuer of its obligations under such documents 
or under the notes.
Gift and inheritance taxes
No Dutch gift tax or Dutch inheritance tax will arise with respect to an 
acquisition or deemed acquisition of notes by way of gift by, or upon the 
death of, a holder of notes who is neither resident nor deemed to be resident 
in the Netherlands for purposes of Dutch gift tax or Dutch inheritance tax 
except if, in the event of a gift whilst not being a resident nor being a 
deemed resident in the Netherlands for purposes of Dutch gift tax or Dutch 
inheritance tax, the holder becomes a resident or a deemed resident in the 
Netherlands and dies within 180 days after the date of the gift.
For purposes of Dutch gift tax and Dutch inheritance tax, a gift of notes made 
under a condition precedent is deemed to be made at the time the condition 
precedent is satisfied.
                                      S-35                                      
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Registration taxes and duties
No Dutch registration tax, transfer tax, stamp duty or any other similar 
documentary tax or duty, other than court fees, is payable in the Netherlands 
in respect of or in connection with the execution and/or enforcement 
(including by legal proceedings and including the enforcement of any foreign 
judgment in the courts of the Netherlands) of the documents relating to the 
issue of notes, the performance by the Issuer of its obligations under such 
documents or under notes, or the transfer of notes, except that Dutch real 
property transfer tax may be due upon an acquisition, in connection with 
notes, of real property situated in the Netherlands, (an interest in) an asset 
that qualifies as real property situated in the Netherlands, or (an interest 
in) a right over real property situated in the Netherlands, for the purposes 
of Dutch real property transfer tax.
                                      S-36                                      
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                                  UNDERWRITING                                  
Subject to the terms and conditions contained in an underwriting agreement, 
dated as of the date of this prospectus supplement, between the Issuer, Parent 
and the underwriters named below, for whom Citigroup Global Markets Europe AG, 
BNP Paribas and Deutsche Bank Aktiengesellschaft are acting as representatives, 
the Issuer has agreed to sell to each underwriter, and each underwriter has 
severally agreed to purchase from the Issuer, the principal amount of notes 
that appears opposite its name in the table below:

                                                                                            
Underwriter                   Principal        Principal        Principal        Principal  
                              Amount of        Amount of        Amount of        Amount of  
                             2032 notes       2037 notes       2044 notes       2054 notes  
Citigroup Global             212,500,000      212,500,000      212,500,000      212,500,000 
Markets Europe AG                                                                           
BNP                          170,000,000      170,000,000      170,000,000      170,000,000 
Paribas                                                                                     
Deutsche Bank                170,000,000      170,000,000      170,000,000      170,000,000 
Aktiengesellschaft                                                                          
HSBC                          51,000,000       51,000,000       51,000,000       51,000,000 
Bank plc                                                                                    
Mizuho Securities             51,000,000       51,000,000       51,000,000       51,000,000 
Europe GmbH                                                                                 
Banco                         51,000,000       51,000,000       51,000,000       51,000,000 
Santander, S.A.                                                                             
Banco Bilbao Vizcaya          17,000,000       17,000,000       17,000,000       17,000,000 
Argentaria, S.A.                                                                            
DNB Bank                      17,000,000       17,000,000       17,000,000       17,000,000 
ASA                                                                                         
Societe                       17,000,000       17,000,000       17,000,000       17,000,000 
Generale                                                                                    
SMBC Bank                     17,000,000       17,000,000       17,000,000       17,000,000 
EU AG                                                                                       
U.S. Bancorp                  17,000,000       17,000,000       17,000,000       17,000,000 
Investments, Inc.                                                                           
Wells Fargo Securities        17,000,000       17,000,000       17,000,000       17,000,000 
Europe S.A.                                                                                 
Drexel                        10,625,000       10,625,000       10,625,000       10,625,000 
Hamilton, LLC                                                                               
Penserra                      10,625,000       10,625,000       10,625,000       10,625,000 
Securities LLC                                                                              
R. Seelaus                    10,625,000       10,625,000       10,625,000       10,625,000 
& Co., LLC                                                                                  
Siebert Williams              10,625,000       10,625,000       10,625,000       10,625,000 
Shank & Co., LLC                                                                            
Total                        850,000,000      850,000,000      850,000,000      850,000,000 

The underwriters are offering the notes subject to their acceptance of the 
notes from the Issuer and subject to prior sale. The underwriting agreement 
provides that the obligations of the several underwriters to pay for and 
accept delivery of the notes offered by this prospectus supplement are subject 
to certain conditions. The underwriters are obligated to take and pay for all 
of the notes offered by this prospectus supplement if any such notes are taken.

The underwriters initially propose to offer some of the notes to the public at 
the public offering prices that appear on the cover page of this prospectus 
supplement. In addition, the underwriters initially propose to offer some of 
the notes to certain dealers at the public offering prices less a concession 
not to exceed 0.250% of the principal amount, with respect to the 2032 notes, 
0.250% of the principal amount, with respect to the 2037 notes, 0.375% of the 
principal amount, with respect to the 2044 notes and 0.400% of the principal 
amount, with respect to the 2054 notes. Any underwriter may allow, and any 
such dealer may reallow, a concession not to exceed 0.150% of the principal 
amount, with respect to the 2032 notes, 0.200% of the principal amount, with 
respect to the 2037 notes, 0.250% of the principal amount, with respect to the 
2044 notes and 0.250% of the principal amount, with respect to the 2054 notes, 
on sales to certain other dealers. After the initial offering of the notes to 
the public, the representatives may change the public offering prices and 
concessions. The underwriters may from time to time vary the offering prices 
and other selling terms. The underwriters may offer and sell notes through 
certain of their affiliates. The offering of the notes by the underwriters is 
subject to receipt and acceptance and subject to the underwriters' right to 
reject any order in whole or in part.
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The following table shows the underwriting discounts that the Issuer will pay 
to the underwriters in connection with the offering of the notes:

                                                                                    
Paid by the Issuer       2032 notes      2037 notes      2044 notes      2054 notes 
Per Note                     0.400 %         0.450 %         0.625 %         0.650 %
Total                    3,400,000       3,825,000       5,312,500       5,525,000  

Expenses associated with this offering to be paid by us, other than 
underwriting discounts, are estimated to be approximately $6.5 million. The 
underwriters have agreed to reimburse us for certain of our expenses in 
connection with this offering.
The Issuer and Parent have also agreed to indemnify the underwriters against 
certain liabilities, including liabilities under the Securities Act, or to 
contribute to payments which the underwriters may be required to make in 
respect of any such liabilities.
The notes are new issues of securities, and there are currently no established 
trading markets for the notes. Application will be made for the notes to be 
listed on the New York Stock Exchange. The listing application will be subject 
to approval by the New York Stock Exchange. If such a listing is obtained, the 
Issuer has no obligation to maintain such listing and may delist the notes at 
any time. The underwriters have advised the Issuer that they intend to make a 
market in the notes of each series, but they are not obligated to do so. The 
underwriters may discontinue any market making in the notes at any time at 
their sole discretion. Accordingly, there can be no assurance that liquid 
trading markets will develop for the notes, that you will be able to sell your 
notes at a particular time or that the prices you receive when you sell will 
be favorable.
Settlement
The Issuer expects to deliver the notes against payment therefor on the ninth 
business day in the City of New York (which is also the ninth business day in 
London and the ninth business day in the Netherlands) following the date of 
this prospectus supplement (such settlement being referred to as "T+9"). Under 
the E.U. Central Securities Depositaries Regulation, trades in the secondary 
market generally are required to settle in two business days unless the 
parties to a trade expressly agree otherwise. Also, under Rule 15c6-1 of the 
Exchange Act, trades in the secondary market generally are required to settle 
in two business days, unless the parties to a trade expressly agree otherwise. 
Accordingly, purchasers who wish to trade the notes on any date prior to the 
second business day before delivery will be required, by virtue of the fact 
that the notes initially will settle in T+9, to specify alternative settlement 
arrangements to prevent a failed settlement and should consult their own 
advisors. As used in this paragraph, the term "business day" means any day, 
other than a Saturday or Sunday, (i) that is not a day on which banking 
institutions in The City of New York, London or the Netherlands are authorized 
or required by law or executive order to close and (ii) on which the 
Trans-European Automated Real-time Gross Settlement Express Transfer system, 
or the TARGET2 system, or any successor thereto, operates.
Stabilization and Short Positions
In connection with the issue of the notes, the Stabilizing Manager (or any 
person acting on behalf of the Stabilizing Manager) may over-allot the notes 
or effect transactions with a view to supporting the price of the notes at a 
level higher than that which might otherwise prevail. This stabilizing, if 
commenced, may discontinue at any time. There is no assurance that the 
Stabilizing Manager (or persons acting on its behalf) will undertake 
stabilization action. Any stabilization action may begin on or after the date 
on which adequate public disclosure of the terms of the offer of the notes is 
made and, if begun, may be ended at any time, but it must end no later than 
the earlier of 30 days after the issue date of the notes and 60 days after the 
date of the allotment of the notes. Any stabilization action or over-allotment 
must be conducted by the Stabilizing Manager (or persons acting on its behalf) 
in accordance with all applicable laws and rules. Any loss or profit sustained 
as a consequence of any such over-allotment or stabilization shall be for the 
account of the Stabilizing Manager.
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The underwriters also may impose a penalty bid. This occurs when a particular 
underwriter repays to the underwriters a portion of the underwriting discount 
received by it because the Stabilizing Manager has repurchased notes sold by 
or for the account of such underwriter in stabilizing or short covering 
transactions.
Neither we nor any of the underwriters makes any representation or prediction 
as to the direction or magnitude of any effect that the transactions described 
above may have on the price of the notes.
Other Relationships
The underwriters and their respective affiliates are full service financial 
institutions engaged in various activities, which may include securities 
trading, commercial and investment banking, financial advisory, investment 
management, investment research, principal investment, hedging, financing and 
brokerage activities. From time to time in the ordinary course of their 
respective businesses, certain of the underwriters and their affiliates have 
engaged in and may in the future engage in commercial banking, derivatives 
and/or financial advisory, investment banking and other commercial 
transactions and services with us and our affiliates for which they have 
received or will receive customary fees and commissions.
To the extent any underwriter that is not a U.S. registered broker-dealer 
intends to effect sales of notes in the United States, it will do so through 
one or more U.S. registered broker-dealers in accordance with the applicable 
U.S. securities laws and regulations.
Substantially all of the underwriters or their affiliates are participants in 
Parent's $6.0 billion, five-year credit facility maturing in May 2028. Certain 
of the underwriters or their affiliates are or may serve as dealers in 
Parent's commercial paper program.
In addition, in the ordinary course of their business activities, the 
underwriters and their affiliates may make or hold a broad array of 
investments and actively trade debt and equity securities (or related 
derivative securities) and financial instruments (including bank loans) for 
their own account and for the accounts of their customers. Such investments 
and securities activities may involve securities and/or instruments of 
Parent's or Parent's affiliates. If any of the underwriters or their 
affiliates have a lending relationship with us, certain of those underwriters 
or their affiliates routinely hedge, and certain other of those underwriters 
or their affiliates may hedge, their credit exposure to us consistent with 
their customary risk management policies. Typically, these underwriters and 
their affiliates would hedge such exposure by entering into transactions which 
consist of either the purchase of credit default swaps or the creation of 
short positions in Parent's securities, including potentially the notes 
offered hereby. Any such credit default swaps or short positions could 
adversely affect future trading prices of the notes offered hereby. The 
underwriters and their affiliates may also make investment recommendations 
and/or publish or express independent research views in respect of such 
securities or financial instruments and may hold, or recommend to clients that 
they acquire, long and/or short positions in such securities and instruments.
Additionally, U.S. Bancorp Investments, Inc., one of the underwriters, is an 
affiliate of the trustee, paying agent, transfer agent and security registrar 
for the notes.
Selling Restrictions
The notes may not be offered or sold, directly or indirectly, nor may this 
prospectus supplement or any other offering material or advertisements in 
connection with the offer and sale of any such notes be distributed or 
published in any jurisdiction, except under circumstances that will result in 
compliance with the applicable rules and regulations of that jurisdiction. 
Persons into whose possession this prospectus supplement comes are advised to 
inform themselves about and to observe any restrictions relating to the 
offering of the notes and the distribution of this prospectus supplement. This 
prospectus supplement does not constitute an offer to sell or a solicitation 
of an offer to buy any notes offered by this prospectus supplement in any 
jurisdiction in which such an offer or a solicitation is unlawful.
                                      S-39                                      
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Notice to Prospective Investors in the European Economic Area
The notes are not intended to be offered, sold or otherwise made available to 
and should not be offered, sold or otherwise made available to any retail 
investor in the EEA. For the purposes of this provision: (a) the expression 
"retail investor" means a person who is one (or more) of the following: (i) a 
retail client as defined in point (11) of Article 4(1) of MiFID II; or (ii) a 
customer within the meaning of the Insurance Distribution Directive, where 
that customer would not qualify as a professional client as defined in point 
(10) of Article 4(1) of MiFID II. Consequently, no key information document 
required by the PRIIPs Regulation for offering or selling the notes or 
otherwise making them available to retail investors in the EEA has been 
prepared and therefore offering or selling the notes or otherwise making them 
available to any retail investor in the EEA may be unlawful under the PRIIPs 
Regulation. This prospectus supplement and the accompanying prospectus has 
been prepared on the basis that any offer of notes in any member state of the 
EEA will be made pursuant to an exemption under the Regulation (EU) 2017/1129 
(as amended, the "Prospectus Regulation") from the requirement to publish a 
prospectus for offers of notes. This prospectus supplement and the 
accompanying prospectus is not a prospectus for the purposes of the Prospectus 
Regulation.
Notice to Prospective Investors in the United Kingdom
The notes are not intended to be offered, sold or otherwise made available to 
and should not be offered, sold or otherwise made available to any retail 
investor in the United Kingdom. For the purposes of this provision: (a) the 
expression "retail investor" means a person who is one (or more) of the 
following: (i) a retail client, as defined in point (8) of Article 2 of 
Regulation (EU) No 2017/565 as it forms part of domestic law by virtue of 
EUWA; or (ii) a customer within the meaning of the provisions of the Financial 
Services and Markets Act 2000 ("FSMA") and any rules or regulations made under 
the FSMA to implement Directive (EU) 2016/97, where that customer would not 
qualify as a professional client, as defined in point (8) of Article 2(1) of 
Regulation (EU) No 600/2014 as it forms part of domestic law by virtue of the 
EUWA. Consequently, no key information document required by the U.K. PRIIPs 
Regulation for offering or selling the notes or otherwise making them 
available to retail investors in the U.K. has been prepared and therefore 
offering or selling the notes or otherwise making them available to any retail 
investor in the U.K. may be unlawful under the U.K. PRIIPs Regulation. This 
prospectus supplement and the accompanying prospectus has been prepared on the 
basis that any offer of notes in the U.K. will be made pursuant to an 
exemption under the Prospectus Regulation as it forms part of domestic law by 
virtue of the EUWA (the "U.K. Prospectus Regulation") from the requirement to 
publish a prospectus for offers of notes. This prospectus supplement and the 
accompanying prospectus is not a prospectus for the purposes of the U.K. 
Prospectus Regulation.
This prospectus supplement and the accompanying prospectus have not been 
approved by an authorized person for the purposes of section 21 of the FSMA 
and are being distributed only to, and are directed only at, persons in the 
United Kingdom who are "qualified investors" (as defined in the U.K. 
Prospectus Regulation) who are also (i) persons having professional experience 
in matters relating to investments falling within Article 19(5) of the 
Financial Services and Markets Act 2000 (Financial Promotion) Order 2005 (as 
amended, the "Order"), (ii) high net worth entities or other persons falling 
within Articles 49(2)(a) to (d) of the Order, or (iii) persons to whom it 
would otherwise be lawful to distribute them, all such persons together being 
referred to as "Relevant Persons." The notes are only available to, and any 
invitation, offer or agreement to subscribe, purchase or otherwise acquire 
such notes will be engaged in only with, Relevant Persons.
Notice to Prospective Investors in Canada
The notes may be sold only to purchasers purchasing, or deemed to be 
purchasing, as principal, that are accredited investors, as defined in 
National Instrument 45-106 Prospectus Exemptions or subsection 73.3(1) of the 
Securities Act (Ontario), and are permitted clients, as defined in National 
Instrument 31-103 Registration Requirements, Exemptions and Ongoing Registrant 
Obligations. Any resale of the notes must be made in accordance with an 
exemption from, or in a transaction not subject to, the prospectus 
requirements of applicable securities laws.
                                      S-40                                      
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Securities legislation in certain provinces or territories of Canada may 
provide a purchaser with remedies for rescission or damages if this prospectus 
supplement and the accompanying prospectus (including any amendment thereto) 
contain a misrepresentation, provided that the remedies for rescission or 
damages are exercised by the purchaser within the time limit prescribed by the 
securities legislation of the purchaser's province or territory. The purchaser 
should refer to any applicable provisions of the securities legislation of the 
purchaser's province or territory for particulars of these rights or consult 
with a legal advisor.
Pursuant to section 3A.3 of National Instrument 33-105 Underwriting Conflicts 
("NI 33-105"), the underwriters are not required to comply with the disclosure 
requirements of NI 33-105 regarding underwriter conflicts of interest in 
connection with this offering. Upon receipt of this prospectus supplement and 
the accompanying prospectus, each Canadian investor hereby confirms that it 
has expressly requested that all documents evidencing or relating in any way 
to the sale of the securities described herein (including for greater 
certainty any purchase confirmation or any notice) be drawn up in the English 
language only.
Notice to Prospective Investors in Hong Kong
The notes have not been offered or sold and will not be offered or sold in 
Hong Kong, by means of any document, other than (a) to "professional 
investors" as defined in the Securities and Futures Ordinance (Cap. 571) of 
Hong Kong and any rules made under that Ordinance; or (b) in other 
circumstances which do not result in the document being a "prospectus" as 
defined in the Companies Ordinance (Cap. 32) of Hong Kong or which do not 
constitute an offer to the public within the meaning of that Ordinance. No 
advertisement, invitation or document relating to the notes has been or may be 
issued or has been or may be in the possession of any person for the purposes 
of issue, whether in Hong Kong or elsewhere, which is directed at, or the 
contents of which are likely to be accessed or read by, the public of Hong 
Kong (except if permitted to do so under the securities laws of Hong Kong) 
other than with respect to notes which are or are intended to be disposed of 
only to persons outside Hong Kong or only to "professional investors" as 
defined in the Securities and Futures Ordinance and any rules made under that 
Ordinance.
Notice to Prospective Investors in Japan
The notes have not been and will not be registered pursuant to Article 4, 
Paragraph 1 of the Financial Instruments and Exchange Act. Accordingly, none 
of the notes nor any interest therein may be offered or sold, directly or 
indirectly, in Japan or to, or for the benefit of, any "resident" of Japan 
(which term as used herein means any person resident in Japan, including any 
corporation or other entity organized under the laws of Japan), or to others 
for reoffering or resale, directly or indirectly, in Japan or to or for the 
benefit of a resident of Japan, except pursuant to an exemption from the 
registration requirements of, and otherwise in compliance with, the Financial 
Instruments and Exchange Act and any other applicable laws, regulations and 
ministerial guidelines of Japan in effect at the relevant time.
Notice to Prospective Investors in Singapore
This prospectus supplement has not been registered as a prospectus with the 
Monetary Authority of Singapore. Accordingly, each underwriter has not offered 
or sold any notes or caused such notes to be made the subject of an invitation 
for subscription or purchase and will not offer or sell such notes or cause 
such notes to be made the subject of an invitation for subscription or 
purchase, and has not circulated or distributed, nor will it circulate or 
distribute, this prospectus supplement and the accompanying prospectus or any 
other document or material in connection with the offer or sale, or invitation 
for subscription or purchase, of such notes, whether directly or indirectly, 
to any person in Singapore other than
(i)
to an institutional investor (as defined in Section 4A of the Securities and 
Futures Act 2001 of Singapore, as modified or amended from time to time (the 
"SFA")) pursuant to Section 274 of the SFA or
(ii)
to an accredited investor (as defined in Section 4A of the SFA) pursuant to 
and in accordance with the conditions specified in Section 275 of the SFA.
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Notice to Prospective Investors in the Dubai International Financial Centre
This prospectus supplement relates to an Exempt Offer in accordance with the 
Offered Securities Rules of the Dubai Financial Services Authority ("DFSA"). 
This prospectus supplement is intended for distribution only to persons of a 
type specified in the Offered Securities Rules of the DFSA. It must not be 
delivered to, or relied on by, any other person. The DFSA has no responsibility 
for reviewing or verifying any documents in connection with Exempt Offers. The 
DFSA has not approved this prospectus supplement nor taken steps to verify the 
information set forth herein and has no responsibility for the prospectus 
supplement. The notes to which this prospectus supplement relates may be 
illiquid and/or subject to restrictions on their resale. Prospective 
purchasers of the notes offered should conduct their own due diligence on the 
notes. If you do not understand the contents of this prospectus supplement you 
should consult an authorized financial advisor.
Notice to Prospective Investors in United Arab Emirates
The notes have not been, and are not being, publicly offered, sold, promoted 
or advertised in the United Arab Emirates (including the Dubai International 
Financial Centre) other than in compliance with the laws of the United Arab 
Emirates (and the Dubai International Financial Centre) governing the issue, 
offering and sale of securities. Further, this prospectus supplement does not 
constitute a public offer of securities in the United Arab Emirates (including 
the Dubai International Financial Centre) and is not intended to be a public 
offer. This prospectus supplement has not been approved by or filed with the 
Central Bank of the United Arab Emirates, the Securities and Commodities 
Authority or the Dubai Financial Services Authority.
Notice to Prospective Investors in South Korea
The notes have not been and will not be registered with the Financial Services 
Commission of Korea under the Financial Investment Services and Capital 
Markets Act of Korea. Accordingly, the notes have not been and will not be 
offered, sold or delivered, directly or indirectly, in Korea or to, or for the 
account or benefit of, any resident of Korea (as defined in the Foreign 
Exchange Transactions Law of Korea and its Enforcement Decree) or to others 
for re-offering or resale, except as otherwise permitted by applicable Korean 
laws and regulations. In addition, within one year following the issuance of 
the notes, the notes may not be transferred to any resident of Korea other 
than a qualified institutional buyer (as such term is defined in the 
regulation on issuance, public disclosure, etc. of securities of Korea, a 
"Korean QIB") registered with the Korea Financial Investment Association (the 
"KOFIA") as a Korean QIB and subject to the requirement of monthly reports 
with the KOFIA of its holding of Korean QIB bonds as defined in the Regulation 
on Issuance, Public Disclosure, etc. of notes of Korea, provided that (a) the 
notes are denominated, and the principal and interest payments thereunder are 
made, in a currency other than Korean won, (b) the amount of the notes 
acquired by such Korean QIBs in the primary market is limited to less than 20 
percent of the aggregate issue amount of the notes, (c) the notes are listed 
on one of the major overseas securities markets designated by the Financial 
Supervisory Service of Korea, or certain procedures, such as registration or 
report with a foreign financial investment regulator, have been completed for 
offering of the securities in a major overseas securities market, (d) the 
one-year restriction on offering, delivering or selling of securities to a 
Korean resident other than a Korean QIB is expressly stated in the securities, 
the relevant purchase agreement, subscription agreement, and the offering 
circular and (e) the Company and the underwriters shall individually or 
collectively keep the evidence of fulfillment of conditions (a) through (d) 
above after having taken necessary actions therefor.
Notice to Prospective Investors in Switzerland
This prospectus supplement is not intended to constitute an offer or 
solicitation to purchase or invest in the notes. The notes may not be publicly 
offered, directly or indirectly, in Switzerland within the meaning of the 
Swiss Financial Services Act ("FinSA") and no application has or will be made 
to admit the notes to trading on any trading venue (exchange or multilateral 
trading facility) in Switzerland. Neither this prospectus supplement nor any 
other offering or marketing material relating to the notes constitutes a 
prospectus pursuant to the FinSA, and neither this prospectus supplement nor 
any other offering or marketing material relating to the notes may be publicly 
distributed or otherwise made publicly available in Switzerland.
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Notice to Prospective Investors in Taiwan
The notes have not been and will not be registered with the Financial 
Supervisory Commission of Taiwan pursuant to relevant securities laws and 
regulations and may not be sold, issued or offered within Taiwan through a 
public offering or in circumstances which constitutes an offer within the 
meaning of the Securities and Exchange Act of Taiwan that requires a 
registration or approval of the Financial Supervisory Commission of Taiwan. No 
person or entity in Taiwan has been authorized to offer, sell, give advice 
regarding or otherwise intermediate the offering and sale of the notes in 
Taiwan.
                                      S-43                                      
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                INCORPORATION OF CERTAIN DOCUMENTS BY REFERENCE                 
The SEC allows us to "incorporate by reference" the information in documents 
that the Company files with them. This means that we can disclose important 
information to you by referring you to those documents. The information 
incorporated by reference is an important part of this prospectus supplement 
and the accompanying prospectus. The information we incorporate by reference 
into this prospectus supplement supersedes the information incorporated by 
reference in the accompanying prospectus, and information in documents that 
the Company files after the date of this prospectus supplement and before the 
termination of the offering to which this prospectus supplement relates will 
automatically update information in this prospectus supplement and the 
accompanying prospectus. We incorporate by reference the documents listed 
below as well as any future filings under Exchange Act File No. 001-06571 the 
Company will make with the SEC under Sections 13(a), 13(c), 14 or 15(d) of the 
Exchange Act prior to the termination of the offering to which this prospectus 
supplement relates (in each case other than Current Reports or portions 
thereof furnished under Item 2.02 or Item 7.01 of Form 8-K, except as 
expressly set forth below):
.
our Annual Report on
Form 10-K
for the year ended December 31, 2023 filed with the SEC on February 26, 2024;
.
our Amendment No. 1 on
Form 10-K/A
to its Annual Report for the fiscal year ended December 31, 2023 filed with 
the SEC on April 11, 2024;
.
our Quarterly Report on
Form 10-Q
for the quarterly period ended March 31, 2024, filed with the SEC on May 3, 
2024;
.
our Current Reports on Form 8-K filed with the SEC on
February 1, 2024
and
February 20, 2024
; and
.
our Definitive Proxy Statement on
Schedule 14A
filed with the SEC on April 11, 2024 (solely to the extent incorporated by 
reference into our Annual Report on Form 10-K for the year ended December 31, 
2023).
We will provide, without charge, copies of any document incorporated by 
reference into this prospectus supplement, excluding exhibits other than those 
that are specifically incorporated by reference into this prospectus 
supplement. You can obtain a copy of any document incorporated by reference by 
writing or calling us at our principal executive offices as follows:
                      Merck & Co., Inc., Rahway, N.J., USA                      
                            126 East Lincoln Avenue                             
                            Rahway, New Jersey 07065                            
                                  908-740-4000                                  
                       Attention: Office of the Secretary                       
                                      S-44                                      
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                             VALIDITY OF THE NOTES                              
The validity of the notes and the note guarantee will be passed upon for us by 
Jennifer Zachary, our Executive Vice President and General Counsel and by 
Loyens & Loeff N.V. as to matters of Dutch law, and for the underwriters by 
Davis Polk & Wardwell LLP, New York, New York. In addition, Fried, Frank, 
Harris, Shriver & Jacobson LLP, New York, New York, has represented us in 
connection with various matters for this offering. As of May 8, 2024, Ms. 
Zachary owned, directly and indirectly, 29,234.177 shares of our common stock 
and options to purchase 198,223 shares of our common stock.
                                    EXPERTS                                     
The financial statements and management's assessment of the effectiveness of 
internal control over financial reporting (which is included in Management's 
Report on Internal Control over Financial Reporting) incorporated in this 
prospectus supplement by reference to the Company's Annual Report on Form 10-K 
for the year ended December 31, 2023 have been so incorporated in reliance on 
the report of PricewaterhouseCoopers LLP, an independent registered public 
accounting firm, given on the authority of said firm as experts in auditing 
and accounting.
                                      S-45                                      
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PROSPECTUS
                      Merck & Co., Inc., Rahway, N.J., USA                      
                                Debt Securities                                 
                                   Guarantees                                   
                          MSD Netherlands Capital B.V.                          
                                Debt Securities                                 

  
  

Merck & Co., Inc., Rahway, N.J., USA ("Parent") may from time to time issue 
debt securities in one or more offerings pursuant to this prospectus. MSD 
Netherlands Capital B.V., a wholly-owned subsidiary of Parent ("MSD 
Netherlands"), may from time to time issue debt securities in one or more 
offerings pursuant to this prospectus, which will be fully and unconditionally 
guaranteed by Parent. We urge you to read carefully this prospectus, any 
accompanying prospectus supplement, and any documents incorporated by 
reference in this prospectus and any accompanying prospectus supplement before 
you make your investment decision.
Parent or MSD Netherlands, as applicable, may sell these securities to or 
through underwriters, dealers and agents, or directly to purchasers, on a 
delayed or continuous basis.
This prospectus describes some of the general terms that may apply to these 
securities and the general manner in which they may be offered. The specific 
terms of the debt securities, including whether such debt securities of Parent 
will be guaranteed, and the specific manner in which they may be offered, 
including the names of any underwriters or agents, will be described in a 
supplement to this prospectus.
Investing in these securities involves risks. You should carefully consider 
all of the information set forth in this prospectus, including under "
Risk Factors
" on page
3
of this prospectus, and in any prospectus supplement or documents incorporated 
by reference in this prospectus or any prospectus supplement before deciding 
to invest in any of these securities.

  
  

Neither the Securities and Exchange Commission nor any state securities 
commission has approved or disapproved of these securities or passed upon the 
adequacy or accuracy of this prospectus. Any representation to the contrary is 
a criminal offense.

  
  

                  The date of this prospectus is May 14, 2024.                  

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                               TABLE OF CONTENTS                                

                                                             
About This Prospectus                                       1
Merck & Co., Inc., Rahway, N.J., USA                        2
MSD Netherlands Capital B.V.                                2
Risk Factors                                                3
Forward-Looking Statements                                  3
Use of Proceeds                                             3
Description of Debt Securities Parent May Offer             4
Description of Debt Securities MSD Netherlands May Offer   15
Legal Ownership and Book-Entry Issuance                    26
Plan of Distribution                                       30
Validity of Debt Securities                                32
Experts                                                    32
Where You Can Find More Information                        32
Incorporation of Certain Documents by Reference            33
Enforcement of Judgments                                   34


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                             ABOUT THIS PROSPECTUS                              
This prospectus is part of a registration statement that the Company and MSD 
Netherlands filed with the Securities and Exchange Commission, or the 
Commission, utilizing a "shelf" registration process. Under this shelf 
process, Parent and MSD Netherlands may, from time to time, sell any 
combination of the debt securities and guarantees described in this prospectus 
in one or more offerings. No limit exists on the aggregate amount of debt 
securities Parent and MSD Netherlands may sell pursuant to the registration 
statement.
This prospectus provides you with a general description of the debt securities 
Parent or MSD Netherlands may offer. Certain portions of the registration 
statement and the exhibits thereto have been omitted pursuant to the rules and 
regulations of the Commission. Reference is hereby made to such omitted 
portions for further information with respect to us and the debt securities 
offered hereby. A copy of the registration statement may be inspected or 
obtained from Parent at the telephone number and address set forth in 
"Incorporation of Certain Documents by Reference" below. Each time Parent or 
MSD Netherlands sells securities pursuant to this prospectus, Parent or MSD 
Netherlands, as applicable, will provide a prospectus supplement that will 
contain specific information about the terms of that offering, including the 
specific amounts, prices and terms of the debt securities and any guarantees 
offered. Any prospectus supplement may also add, update or change information 
contained in this prospectus. You should read this prospectus, any prospectus 
supplement to this prospectus, any documents incorporated by reference in this 
prospectus and any prospectus supplement and the additional information 
described below under "Where You Can Find More Information" and "Incorporation 
of Certain Documents by Reference" before making an investment decision. 
Parent and MSD Netherlands have not authorized any other person to provide you 
any information other than that contained or incorporated by reference in this 
prospectus. Parent and MSD Netherlands take no responsibility for, and can 
provide no assurance as to the reliability of any other information that 
others may give you. Parent and MSD Netherlands are not making an offer to 
sell these securities in any jurisdiction where the offer or sale is not 
permitted.
Neither the delivery of this prospectus nor any sales hereunder shall under 
any circumstances create any implication that there has been no change in the 
affairs of Parent since the date hereof. You should not assume that the 
information in this prospectus, any accompanying prospectus supplement or any 
documents incorporated by reference in this prospectus and any prospectus 
supplement is accurate as of any date other than the date on the front of 
those documents or on other dates which are specified in those documents. Our 
business, financial condition, results of operations and prospects may have 
changed since that date.
Unless otherwise stated or the context so requires, references in this 
prospectus to (i) "the Company," "we," "us" and "our" are to Merck & Co., 
Inc., Rahway, N.J., USA and its consolidated subsidiaries, including MSD 
Netherlands, (ii) "Parent" are to Merck & Co., Inc., Rahway, N.J., USA, 
excluding its consolidated subsidiaries and (iii) "MSD Netherlands" are to MSD 
Netherlands Capital B.V.
                                       1                                        
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                      MERCK & CO., INC., RAHWAY, N.J., USA                      
We are a global health care company that delivers innovative health solutions 
through our prescription medicines, including biologic therapies, vaccines and 
animal health products. Our operations are principally managed on a product 
basis and include two operating segments, Pharmaceutical and Animal Health, 
both of which are reportable segments.
The Pharmaceutical segment includes human health pharmaceutical and vaccine 
products. Human health pharmaceutical products consist of therapeutic and 
preventive agents, generally sold by prescription, for the treatment of human 
disorders. We sell these human health pharmaceutical products primarily to 
drug wholesalers and retailers, hospitals, government agencies and managed 
health care providers such as health maintenance organizations, pharmacy 
benefit managers and other institutions. Human health vaccine products consist 
of preventive pediatric, adolescent and adult vaccines. We sell these human 
health vaccines primarily to physicians, wholesalers, distributors and 
government entities.
The Animal Health segment discovers, develops, manufactures and markets a wide 
range of veterinary pharmaceutical and vaccine products, as well as health 
management solutions and services, for the prevention, treatment and control 
of disease in all major livestock and companion animal species. We also offer 
an extensive suite of digitally connected identification, traceability and 
monitoring products. We sell our products to veterinarians, distributors, 
animal producers, farmers and pet owners.
On June 2, 2021, we completed the spin-off (the "Spin-Off") of products from 
our women's health, biosimilars and established brands businesses into a new, 
independent, publicly traded company named Organon & Co. ("Organon") through a 
distribution of Organon's publicly traded stock to our shareholders. The 
established brands included in the transaction consisted of dermatology, 
non-opioid pain management, respiratory, select cardiovascular products, as 
well as the rest of our diversified brands franchise.
All product or service marks appearing in type form different from that of the 
surrounding text are trademarks or service marks owned, licensed to, promoted 
or distributed by Merck & Co., Inc., Rahway, N.J., USA, its subsidiaries or 
affiliates, except as noted. All other trademarks or services marks are those 
of their respective owners.
Parent was incorporated in the State of New Jersey and maintains our principal 
offices in Rahway, New Jersey. Our address is 126 East Lincoln Avenue, Rahway, 
New Jersey 07065, and our telephone number is (908) 740-4000. We have a 
website that is located at
www.msd.com.
Information available on, or accessible through, our website is not 
incorporated into this prospectus by reference and should not be considered a 
part of this prospectus.
                          MSD NETHERLANDS CAPITAL B.V.                          
MSD Netherlands was incorporated as a private limited liability company (
besloten vennootschap met beperkte aansprakelijkheid
) under Dutch law, having its official seat in Haarlem, the Netherlands and 
its registered office is located at Waarderweg 39, 2031 BN Haarlem, the 
Netherlands. MSD Netherlands is registered with the Trade Register of the 
Chamber of Commerce in the Netherlands under number 93598734. MSD Netherlands 
is a wholly-owned finance subsidiary of Parent and has no assets or operations 
other than as related to the issuance, administration and repayment of any 
debt securities that MSD Netherlands may issue from time to time that will be 
fully and unconditionally guaranteed by Parent. MSD Netherlands' telephone 
number is +31 23 5153 153.
                                       2                                        
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                                  RISK FACTORS                                  
Before deciding to invest in Parent's or MSD Netherlands' securities, you 
should carefully consider the risk factors and forward-looking statements 
described in Item 1A of the Company's most recent Annual Report on Form 10-K 
for the year ended December 31, 2023 (which is incorporated by reference 
herein). In addition, you should carefully consider information in any 
accompanying prospectus supplement or any documents incorporated by reference 
in this prospectus and any accompanying prospectus supplement, before deciding 
to invest in Parent's or MSD Netherlands' securities. Additional risks and 
uncertainties not presently known to us or that we currently deem immaterial 
may also impair our business operations.
                           FORWARD-LOOKING STATEMENTS                           
This prospectus, any prospectus supplement and any documents incorporated by 
reference herein or therein and oral statements made from time to time by us 
may contain so-called "forward-looking statements" (within the meaning of 
Section 27A of the Securities Act of 1933, as amended, or the Securities Act, 
and Section 21E of the Securities Exchange Act of 1934, as amended, or the 
Exchange Act), all of which are based on management's current expectations and 
are subject to risks and uncertainties which may cause results to differ 
materially from those set forth in the statements. One can identify these 
forward-looking statements by their use of words such as "anticipates," 
"expects," "plans," "will," "estimates," "forecasts," "projects" and other 
words of similar meaning, or negative variations of any of the foregoing. One 
can also identify them by the fact that they do not relate strictly to 
historical or current facts. These statements are likely to address our growth 
strategy, financial results, product approvals, product potential, development 
programs, environmental or other sustainability initiatives. One must 
carefully consider any such statement and should understand that many factors 
could cause actual results to differ materially from our forward-looking 
statements. These factors include inaccurate assumptions and a broad variety 
of other risks and uncertainties, including some that are known and some that 
are not. No forward-looking statement can be guaranteed and actual future 
results may vary materially. Parent and MSD Netherlands do not assume the 
obligation to update any forward-looking statement. Parent and MSD Netherlands 
caution you not to place undue reliance on these forward-looking statements. 
One should carefully evaluate such statements in light of factors, including 
risk factors, described under "Risk Factors" above and in the documents 
incorporated herein by reference in which are discussed in more detail various 
important factors that could cause actual results to differ from expected or 
historic results. One should understand that it is not possible to predict or 
identify all such factors. Consequently, one should not consider any such list 
to be a complete statement of all potential risks or uncertainties.
                                USE OF PROCEEDS                                 
Unless otherwise indicated in the accompanying prospectus supplement, we will 
use the net proceeds from the sale of any debt securities by Parent or MSD 
Netherlands for general corporate purposes, including the reduction of 
short-term debt. We may temporarily invest funds that we do not immediately 
need for these purposes in short-term marketable securities.
                                       3                                        
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                DESCRIPTION OF DEBT SECURITIES PARENT MAY OFFER                 
                                    General                                     
In this section, "we," "our" and "us" refer to Merck & Co., Inc., Rahway, 
N.J., USA, excluding its consolidated subsidiaries. "You" means direct holders 
and not street name or other indirect holders of debt securities. Indirect 
holders should read the information under the caption "Legal Ownership and 
Book-Entry Issuance."
The debt securities are not secured by any of our property or assets. 
Accordingly, your ownership of debt securities means you are one of our 
unsecured creditors. The debt securities are not subordinated to any of our 
other debt obligations and therefore they rank equally with all our other 
unsecured and unsubordinated indebtedness.
As required by federal law for all bonds and notes that are publicly offered, 
a document called the indenture governs the debt securities. The indenture is 
a contract, dated as of January 6, 2010, which we may amend in the future, 
between us and U.S. Bank Trust National Association, which acts as trustee. 
The trustee has two main roles. First, the trustee can enforce your rights 
against us if we default. There are some limitations on the extent to which 
the trustee acts on your behalf, described under "-Defaults and Remedies-Events 
of Default-Remedies if an Event of Default Occurs." Second, the trustee 
performs administrative duties for us, such as sending you interest payments, 
registering transfers of your debt securities to a new buyer if you sell and 
sending you notices.
The indenture and its associated documents contain the full legal text of the 
matters described in this section. New York law governs the indenture and 
governs the debt securities. The indenture is an exhibit to our registration 
statement of which this prospectus forms a part. See "Where You Can Find More 
Information" for information on how to obtain a copy.
We may issue as many distinct series of debt securities under the indenture as 
we wish. A series of debt securities may be guaranteed by one or more of our 
subsidiaries. There is no limit on the amount of debt securities we may issue 
under the indenture and the provisions of the indenture allow us to issue debt 
securities with terms different from those previously issued under the 
indenture. Also, we may "reopen" a previous issue of a series of debt 
securities and issue additional debt securities of that series. We may issue 
debt securities in amounts that exceed the total amount specified on the cover 
of your prospectus supplement at any time without your consent and without 
notifying you.
This section summarizes all the material terms of the debt securities that are 
common to all series unless otherwise indicated in the prospectus supplement 
relating to a particular series. Because this section is a summary, it does 
not describe every aspect of the debt securities and is subject to and 
qualified in its entirety by reference to all the provisions of the indenture, 
including definitions of some of the terms used in the indenture. We describe 
the meaning for only some of the important terms. We also include references 
in parentheses to some sections of the indenture. Whenever we refer to 
particular sections or defined terms of the indenture in this prospectus or in 
the prospectus supplement, we incorporate by reference those sections or 
defined terms here or in the prospectus supplement.
We may issue the debt securities as original issue discount securities, which 
we would offer and sell at a substantial discount below their stated principal 
amount. (
section 101
) A prospectus supplement relating to original issue discount securities will 
describe federal income tax consequences and other special considerations 
applicable to them. We may also issue the debt securities as indexed 
securities or securities denominated in foreign currencies, currency units or 
composite currencies, as described in more detail in a prospectus supplement 
relating to any of these types of debt securities. A prospectus supplement 
relating to indexed debt securities or foreign currency debt securities will 
also describe any additional tax consequences or other special considerations 
applicable to these types of debt securities.
In addition, we will describe the material specific financial, legal and other 
terms particular to debt securities of each series in a prospectus supplement 
relating to debt securities of that series. A prospectus supplement relating 
to debt securities of a series will describe the following terms of the debt 
securities:
.
the title of the debt securities of the series;
                                       4                                        
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.
whether our obligations under the debt securities of the series will be 
guaranteed;
.
any limit on the total principal amount of the debt securities of the series;
.
the person to whom interest on a debt security is payable, if other than the 
holder on the regular record date;
.
the date or dates on which the debt securities of the series are scheduled to 
mature;
.
any rate or rates, which may be fixed or variable, per annum at which the debt 
securities of the series will bear interest, if any, and the date or dates 
from which any interest will accrue;
.
the date or dates on which any interest on the debt securities of the series 
will be payable and the regular record date or dates we will use to determine 
who is entitled to receive each interest payment;
.
the place or places where the principal and any premium and interest will be 
payable;
.
any date after which, or any period or periods within which, and the price or 
prices at which, we will have the option to redeem the debt securities of the 
series, and the other detailed terms and provisions of any optional redemption 
right;
.
any obligation we will have to redeem the debt securities of the series under 
a sinking fund or analogous provision or to redeem your debt securities at 
your option and the period or periods during which, the price or prices at 
which and the other specific terms under which, we would be obligated to 
redeem the debt securities of the series under any obligation of this kind;

.
if other than minimum denominations of $2,000 and integral multiples of $1,000 
in excess thereof, the denominations in which we will issue the debt 
securities of the series;
.
if other than United States dollars, the currency of payment of the principal 
and any premium and interest on the debt securities of the series;
.
any index or other special method we will use to determine the amount of 
principal or any premium or interest we will pay on the debt securities of the 
series;
.
if we or you have a right to choose the currency, currency units or composite 
currencies in which payments on any of the debt securities of the series will 
be made, the currencies, currency units or composite currencies that we or you 
may elect, when we or you may make the election and the other specific terms 
of the right to make an election of this kind;
.
if other than the principal amount, the portion of the principal amount of the 
debt securities of the series which will be payable upon the declaration of 
acceleration of the maturity of the debt securities of the series;
.
the applicability of the provisions described under "-Defeasance";
.
if we will issue the debt securities of the series in whole or in part in the 
form of global securities as described below under "Legal Ownership and 
Book-Entry Issuance-Global Securities," the name of the depository for the 
debt securities of the series and the circumstances under which the trustee 
may terminate the global securities and register separate debt securities in 
the names of persons other than the depository or its nominee if other than 
those circumstances described under "Legal Ownership and Book-Entry 
Issuance-Global Securities-Special Situations When a Global Security will be 
Terminated"; and
.
any other special terms of the debt securities of the series that are not 
inconsistent with the provisions of the indenture. (
section 301
)
We will attach the prospectus supplement relating to the debt securities of 
the series to the front of this prospectus.
                                       5                                        
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We may issue debt securities other than the debt securities described in this 
prospectus. There is no requirement that we issue any other debt securities 
under the indenture described herein. Thus, we may issue any other debt 
securities under other indentures or documentation, containing provisions 
different from those included in the indenture or applicable to one or more 
issues of the debt securities described in this prospectus.
Without limiting the foregoing, we and the trustee may enter into one or more 
supplemental indentures with one or more of our subsidiaries providing for a 
full and unconditional guarantee by such subsidiaries of the payment of 
principal of, premium, if any, and interest on and "additional amounts" with 
respect to these debt securities when due, whether at maturity or otherwise. 
The debt securities described herein will be effectively subordinated to any 
secured debt we or our subsidiaries incur to the extent of the value of such 
security. The debt securities will also be structurally subordinated to all 
indebtedness of our subsidiaries which are not guarantors of the debt 
securities.
                     Overview of Remainder of this Section                      
The remainder of this section summarizes:
.
Additional mechanics
relevant to the debt securities under normal circumstances, such as how you 
transfer ownership and where we make payments.
.
Your rights under several
special situations
, such as if we merge with another company or if we want to change a term of 
the debt securities.
.
Restrictive covenants
contained in the indenture which specify particular business actions that we 
promise not to take. Particular debt securities of a series may have 
additional restrictive covenants.
.
Our right to release ourselves from all or some of our obligations under the 
debt securities and the indenture by a process called
defeasance
.
.
Your rights if we
default
or experience other financial difficulties.
.
Our relationship with the trustee.
                              Additional Mechanics                              
Form, Exchange and Registration of Transfer
We will issue the debt securities:
.
only in fully registered form;
.
without interest coupons; and
.
unless otherwise indicated in the prospectus supplement, in minimum 
denominations of $2,000 and any integral multiple of $1,000 in excess thereof. 
(
section 302
)
You may have your debt securities broken into more debt securities of smaller 
denominations of not less than $2,000 or combined into fewer debt securities 
of larger denominations, as long as the total principal amount is not changed. 
(
section 305
) This is called an exchange.
You may exchange or register a transfer of debt securities at the office of 
the trustee. The trustee acts as our agent for registering debt securities in 
the names of holders and registering transfers of debt securities. We may 
change this appointment to another entity or perform it ourselves. The entity 
performing the role of maintaining the list of registered direct holders is 
called the security registrar. It will also register transfers. (
section 305
) You may also replace lost, stolen or mutilated debt securities at that 
office. (
section 306
) The trustee's agent may require an indemnity before replacing any debt 
securities.
You will not be required to pay a service charge to register a transfer of 
debt securities or to exchange debt securities, but you may be required to pay 
for any tax or other governmental charge associated with the transfer or
                                       6                                        
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exchange. The security registrar will make the registration of transfer or 
exchange only if it is satisfied with your proof of ownership. (
section 305
)
If we have designated additional trustees, they are named in the prospectus 
supplement. We may cancel the designation of any particular trustee. We may 
also approve a change in the office through which any trustee acts. (
section 1002
)
If the debt securities are redeemable and we redeem less than all of the debt 
securities of a particular series, we may block the issuance of, registration 
of transfer or exchange of debt securities during the period beginning 15 days 
before the day we mail the notice of redemption and ending on the day of that 
mailing, in order to freeze the list of holders to prepare the mailing. We may 
also refuse to register transfers or exchanges of debt securities selected for 
redemption, except that we will continue to permit transfers and exchanges of 
the unredeemed portion of any debt security being partially redeemed. (
section 305
)
The rules for exchange described above apply to exchange of debt securities 
for other debt securities of the same series and tenor.
Payment and Paying Agents
We will pay interest to you on each date interest is due if you are a direct 
holder listed in the trustee's records at the close of business on a 
particular day in advance of each due date for interest, even if you no longer 
own the debt security on the interest due date. That particular day is called 
the regular record date and is stated in the prospectus supplement. (
section 307
) Holders buying and selling debt securities must work out between them how to 
compensate for the fact that we will pay all the interest for an interest 
period to the one who is the registered holder on the regular record date.

Unless otherwise stated in the prospectus supplement, we will pay interest, 
principal and any other money due on the debt securities at the corporate 
trust office of the trustee in New York City. (
section 1002
) That office is currently located at 100 Wall Street, 6th floor, New York, 
New York 10005. You must make arrangements to have your payments picked up at 
or wired from that office. We may also choose to pay interest by mailing 
checks.
Street name and other indirect holders should consult their banks or brokers 
for information on how they will receive payments.
We may also arrange for additional payment offices, and may cancel or change 
these offices, including our use of the trustee's corporate trust office. 
These offices are called paying agents. We may also choose to act as our own 
paying agent. We must notify you of changes in the paying agents for any 
particular debt securities of the series. (
section 1002
)
Notices
We and the trustee will send notices regarding the debt securities only to 
direct holders, using their addresses as listed in the trustee's records. (

section 106
)
All paying agents must return to us upon our request all money paid by us that 
remains unclaimed two years after the amount is due to direct holders. After 
that two-year period, you may look only to us for payment and not to the 
trustee, any other paying agent or anyone else. (
section 1003
)
                               Special Situations                               
Mergers and Similar Events
We may consolidate or merge with another company or firm. We may also convey, 
transfer or lease all of our properties and assets substantially as an 
entirety to another firm, or buy or lease substantially all of the assets of

                                       7                                        
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another firm. However, we may not take any of these actions unless the 
following conditions, among others, are met:
.
We are the surviving entity or, when we merge out of existence or convey, 
transfer or lease all of our properties and assets substantially as an 
entirety, the other firm must be a corporation, limited liability company, 
partnership or trust organized under the laws of a U.S. state or the District 
of Columbia or under Federal law and it must agree to be legally responsible 
for the debt securities.
.
The merger, sale of assets or other transaction must not cause a default on 
the debt securities, and we must not already be in default unless the merger 
or other transaction would cure the default. For purposes of this no-default 
test, a default would include an event of default, as described under 
"-Default and Remedies-Events of Default-What is an Event of Default," that 
has occurred and not been cured. A default for this purpose would also include 
the occurrence of any event that would be an event of default if we received 
the required notice of our default or if under the indenture the default would 
become an event of default after existing for a specific period of time.
.
It is possible that the merger, sale of assets or other transaction would 
cause some of our property to become subject to a mortgage or other legal 
mechanism giving lenders preferential rights in that property over other 
lenders or over our general creditors if we fail to pay them back. We have 
promised to limit these preferential rights, as discussed under "-Restrictive 
Covenants." If a merger or other transaction would create any liens on any of 
our property, we must comply with those restrictive covenants. We would do 
this either by deciding that the liens were permitted, or by following the 
requirements of the restrictive covenants to grant an equivalent or 
higher-ranking lien to you and the other direct holders of the debt securities 
on the same property that we own.
(section 801)
If the conditions described above are satisfied with respect to any series of 
debt securities, we will not need to obtain the approval of the holders of 
those debt securities in order to merge or consolidate or to sell our assets. 
Also, these conditions will apply only if we wish to merge or consolidate with 
another entity or convey, transfer or lease all of our properties and assets 
substantially as an entirety. We will not need to satisfy these conditions if 
we enter into other types of transactions, including any transaction in which 
we acquire the stock or assets of another entity, any transaction that 
involves a change of control but in which we do not merge or consolidate and 
any transaction in which we convey, transfer or lease less than all of our 
properties and assets substantially as an entirety. It is possible that these 
other types of transactions may result in a reduction in our credit rating, 
may reduce our operating results or may impair our financial condition. 
However, you will have no approval right with respect to any transaction of 
this type.
Modification and Waiver
There are three types of changes we can make to the indenture and the debt 
securities.
Changes Requiring Your Approval.
First, there are changes that cannot be made to your debt securities without 
your specific approval. Following is a list of those types of changes:
.
change the payment due date of any installment of the principal or any premium 
or interest on a debt security stated in the debt security;
.
reduce any amounts due on a debt security;
.
reduce the amount of principal payable upon acceleration of the maturity of an 
original issue discount debt security following a default;
.
change the place or currency of payment on a debt security;
.
impair your right to sue for payment;
.
reduce the percentage of debt securities the holders of which must consent to 
modify or amend the indenture;
                                       8                                        
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.
reduce the percentage of debt securities the holders of which must consent to 
waive compliance with certain provisions of the indenture or to waive certain 
defaults; and
.
modify any other aspect of the provisions dealing with modification and waiver 
of the indenture except to increase any such percentage or to provide that 
certain other provisions of the indenture cannot be modified or waived without 
the consent of the holder of each outstanding security affected thereby.
(section 902)
Changes Requiring a Majority Vote.
The second type of change to the indenture and the debt securities is the kind 
that requires a vote in favor by direct holders owning not less than a 
majority of the principal amount of
the debt securities of the particular series affected. (section 902)
Most changes fall into this category, such as if we wish to obtain a waiver of 
all or part of the restrictive covenants described below, or a waiver of a 
past default. However, we cannot obtain a waiver of a payment default or any 
other aspect of the indenture or the debt securities listed in the first 
category above under "-Changes Requiring Your Approval" unless we obtain your 
individual consent to the waiver.
(section 513)
Changes Not Requiring Approval.
The third type of change does not require any vote by holders of debt 
securities. This type is limited to the addition or release of a guarantee, 
corrections and clarifications and other changes that would not adversely 
affect holders of the debt securities.
(section 901)
Further Details Concerning Voting
. When taking a vote, we will use the following rules to decide how much 
principal amount to attribute to a debt security:
.
For original issue discount securities, we will use the principal amount that 
would be due and payable on the voting date if the maturity of the debt 
securities were accelerated to that date because of a default.
.
For debt securities for which the principal amount is undetermined because, 
for example, it is based on an index, we will use a special rule for that 
series of debt security that we will describe in the prospectus supplement.

.
For debt securities denominated in one or more foreign currencies or currency 
units, we will use the U.S. dollar equivalent.
Debt securities will not be considered outstanding and therefore will not 
carry voting rights if we have deposited or set aside in trust for you money 
for their payment or redemption. Debt securities will also not be eligible to 
vote if they have been fully defeased as described under "-Defeasance-Full 
Defeasance."
(section 1302)
We may set any day as a record date for the purpose of determining the direct 
holders of outstanding debt securities that are entitled to vote or take other 
action under the indenture.
(section 104)
In some circumstances, the trustee may set a record date for action by direct 
holders.
Street name and other indirect holders should consult their banks or brokers 
for information on how approval may be granted or denied if we seek to change 
the indenture or the debt securities or request a waiver.
                             Restrictive Covenants                              
In the following description of restrictive covenants, we use several 
specialized terms without explaining the meaning when we use the terms. We 
define these terms, which appear in
bold, italicized
type without quotation marks the first time they appear, in "-Definitions 
Relating to our Restrictive Covenants" at the end of this subsection.
Restrictions on Secured Debt.
Some of our property may be subject to a mortgage or other legal mechanism 
that gives our lenders preferential rights in that property over other 
lenders, including you and the other direct holders of the debt securities, or 
over our general creditors if we fail to pay them back. These preferential 
rights are called liens. Debt which is protected by these preferential rights 
is called secured debt. In the indenture, we promise that neither we nor our
domestic subsidiaries
will incur any new secured debt that is secured by a lien on any of our or our 
domestic subsidiaries'
principal domestic manufacturing properties
, or on any shares of stock of any of our
                                       9                                        
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domestic subsidiaries that own or lease a principal domestic manufacturing 
property, unless we grant an equivalent or higher-ranking lien on the same 
property to you and the other direct holders of the debt securities.
We do not need to comply with this restriction if the amount of all debt that 
would be secured by liens on principal domestic manufacturing properties, 
including the new debt and all
attributable debt
that results from a sale and leaseback transaction involving principal 
domestic manufacturing properties, is less than 10% of our
consolidated net tangible assets.
This restriction on secured debt does not apply to debt secured by certain 
types of liens, and we can disregard this secured debt when we calculate the 
limits imposed by this restriction. These types of liens are:
.
liens on the property of any of our domestic subsidiaries, or on their shares 
of stock, if those liens existed at the time the corporation became our 
domestic subsidiary;
.
with respect to any series of debt securities, any lien existing on the date 
of issuance of such debt securities;
.
liens in favor of us or our domestic subsidiaries;
.
liens in favor of U.S. governmental bodies that we granted in order to assure 
our payments to such bodies that we owe by law or because of a contract we 
entered into;
.
liens in favor of any customer arising in respect of payments made by or on 
behalf of a customer for goods produced for, or services rendered to, 
customers in the ordinary course of business not exceeding the amount of those 
payments;
.
statutory liens, liens for taxes or assessments or governmental charges or 
levies not yet due or delinquent or which can be paid without penalty or are 
being contested in good faith, landlord's liens on leased property, easements 
and other liens of a similar nature;
.
liens on property or shares of stock that existed at the time we acquired 
them, including property we may acquire through a merger or similar 
transaction, or that we granted in order to purchase the property, which are 
sometimes called purchase money mortgages; and
.
debt secured by liens that extend, renew or replace any of these types of liens.
We and our subsidiaries may have as much unsecured debt as we may choose.
(section 1006)
Restrictions on Sales and Leasebacks.
We promise that neither we nor any of our domestic subsidiaries will enter 
into any sale and leaseback transaction involving a principal domestic 
manufacturing property, unless we comply with this restrictive covenant. A 
sale and leaseback transaction generally is an arrangement between us or a 
domestic subsidiary and a bank, insurance company or other lender or investor 
where we or the domestic subsidiary sell a property to a lender or investor 
more than 120 days after the acquisition of the property or the completion of 
construction of the property and the beginning of its full operation and we or 
any domestic subsidiary lease the property back from the lender.
We can comply with this restrictive covenant in either of two ways:
.
First, we will be in compliance if we or our domestic subsidiary could grant a 
lien on the principal domestic manufacturing property in an amount equal to 
the attributable debt for the sale and leaseback transaction without being 
required to grant an equivalent or higher-ranking lien to you and the other 
direct holders of the debt securities under the restriction on secured debt 
described above.
.
Second, we can comply if we retire an amount of our or any domestic subsidiary's
funded debt
which is not subordinated in right of payment to any outstanding debt 
securities, within 120 days of the transaction, equal to the greater of the 
net proceeds of the sale of the principal domestic manufacturing property that 
we or any domestic subsidiary lease in the transaction or the fair market 
value of that property, subject to
                                       10                                       
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credits for voluntary retirements of debt securities and funded debt we or the 
domestic subsidiary may make.
This restriction on sales and leasebacks does not apply to any sale and 
leaseback transaction that is between us and one of our domestic subsidiaries 
or between domestic subsidiaries, or that involves a lease for a period of 
three years or less.
(section 1007)
Definitions Relating to our Restrictive Covenants.
Following are summaries of the meanings of the terms that are important in 
understanding the restrictive covenants previously described:
.
"
Attributable debt
" means the total net amount of rent, discounted at 1% per annum over the 
weighted average yield to maturity of the outstanding debt securities 
compounded semi-annually, that is required to be paid during the remaining 
term of any lease.
.
"
Consolidated net tangible assets
" is the total amount of assets, less reserves and certain other permitted 
deductible items, after subtracting all current liabilities and all goodwill, 
trade names, trademarks, patents, unamortized debt discounts and expenses and 
similar intangible assets, as such amounts appear on our most recent 
consolidated balance sheet and computed in accordance with generally accepted 
accounting principles.
.
A "
domestic subsidiary
" means any of our subsidiaries which transacts substantially all of its 
business in the United States, has substantially all of its fixed assets 
located in the United States, or owns or leases any principal domestic 
manufacturing property. However, a subsidiary whose principal business is 
financing our operations outside of the United States is not a domestic 
subsidiary. A subsidiary is a corporation in which we and/or one or more of 
our other subsidiaries owns at least 50% of the voting stock (generally 
defined as stock that ordinarily permits its owners to vote for the election 
of directors).
.
"
Funded debt
" means all debt for borrowed money that either has a maturity of 12 months or 
more from the date on which the calculation of funded debt is made or has a 
maturity of less than 12 months from that date but is by its terms renewable 
or extendible beyond 12 months from that date at the option of the borrower.
.
A "
principal domestic manufacturing property
" is any building or other structure or facility, and the land on which it 
sits and its associated fixtures, that we use primarily for manufacturing, 
processing or warehousing, that is located in the United States and that has a 
gross book value in excess of 1% of our consolidated net tangible assets, 
other than a building, structure or other facility that our board of directors 
has determined is not of material importance to the total business that we and 
our subsidiaries conduct or a building or structure which is financed by 
obligations issued by a state, a territory, or a possession of the United 
States, or any political subdivision of any of the foregoing, or the District 
of Columbia, the interest of which is excludable from gross income of the 
holders under provisions of the tax code.
                                   Defeasance                                   
The following discussion of full defeasance and covenant defeasance will be 
applicable to your debt securities only if we choose to have those provisions 
apply to securities of that series. If we do so choose, we will state that in 
the prospectus supplement.
(section 1301)
Full Defeasance.
If there is a change in federal tax law, as described below, we can legally 
release ourselves from any payment or other obligations on the debt securities 
of a series if we put in place other arrangements for you to be repaid. This 
is called full defeasance. In order to achieve full defeasance, we must do the 
following, among other things:
.
We must deposit in trust for your benefit and the benefit of all other direct 
holders of the debt securities of the series any combination of money and U.S. 
government or U.S. government agency notes or bonds that will generate enough 
cash to make interest, principal and any other payments on the debt securities 
of that series on their various due dates.
                                       11                                       
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.
There must be a change in current federal tax law or an IRS ruling that lets 
us make the above deposit without causing you to be taxed on the debt 
securities any differently than if we did not make the deposit and just repaid 
the debt securities ourselves.
.
We must deliver to the trustee a legal opinion of our counsel confirming the 
tax law change described above.
If we ever did accomplish full defeasance, as described above, you would have 
to rely solely on the trust deposit for repayment on the debt securities. You 
could not look to us for repayment in the unlikely event of any shortfall.
(sections 1302 and 1304)
Covenant Defeasance.
Under current federal tax law, we can make the same type of deposit described 
above and be released from some of the restrictive covenants in the debt 
securities. This is called covenant defeasance. In that event, you would lose 
the protection of those restrictive covenants but would gain the protection of 
having money and securities set aside in trust to repay the debt securities. 
In order to achieve covenant defeasance of the debt securities of a series, we 
must do the following:
.
We must deposit in trust for your benefit and the benefit of all other direct 
holders of the debt securities of the series any combination of money and U.S. 
government or U.S. government agency notes or bonds that will generate enough 
cash to make interest, principal and any other payments on the debt securities 
on their various due dates.
.
We must deliver to the trustee a legal opinion of our counsel confirming that 
under current federal income tax law we may make the above deposit without 
causing you to be taxed on the debt securities any differently than if we did 
not make the deposit and just repaid the debt securities ourselves.
If we accomplish covenant defeasance, the following provisions of the 
indenture and the debt securities would no longer apply:
.
Our promises regarding conduct of our business previously described under 
"-Restrictive Covenants," and any other covenants applicable to the debt 
securities of the series and described in the prospectus supplement.
.
Restrictions regarding mergers or similar transactions, as described under 
"-Special Situations-Mergers and Similar Events."
.
The events of default relating to mergers or similar transactions, either of 
the restrictive covenants described under "-Restrictive Covenants" and any 
other event of default applicable to the debt securities of the series and 
described in the prospectus supplement as subject to defeasance.
If we accomplish covenant defeasance, you can still look to us for repayment 
of the debt securities if there were a shortfall in the trust deposit. In 
fact, if one of the remaining events of default occurred, such as our 
bankruptcy, and the debt securities become immediately due and payable, there 
may be such a shortfall in the trust deposit.
(sections 1303 and 1304)
                     Default and Remedies-Events of Default                     
You will have special rights if an event of default occurs and is not cured, 
as described later in this subsection.
What Is an Event of Default?
The term event of default with respect to your series of debt securities means 
any of the following:
.
We do not pay the principal or any premium on a debt security of your series 
on its due date.
.
We do not pay interest on a debt security of your series within 30 days of its 
due date.
                                       12                                       
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.
We do not deposit money into a separate custodial account known as a sinking 
fund when such deposit is due, if we agreed to maintain a sinking fund for 
your debt securities and other debt securities of the same series.
.
We remain in breach of either of the restrictive covenants described under 
"-Restrictive Covenants" or any other covenant or warranty in the indenture 
for 90 days after we receive a notice of default stating we are in breach. The 
notice must be sent by either the trustee or direct holders of at least 25% of 
the principal amount of debt securities of the affected series.
.
We file for bankruptcy or other specific events of bankruptcy, insolvency or 
reorganization occur.
.
Any other event of default described in the prospectus supplement occurs.
(section 501)
Remedies if an Event of Default Occurs.
If an event of default has occurred and has not been cured, the trustee or the 
direct holders of at least 25% in principal amount of the outstanding debt 
securities of the affected series may declare the entire principal amount of 
all the debt securities of that series to be due and immediately payable. This 
is called a declaration of acceleration. The direct holders of at least a 
majority in principal amount of the debt securities of the affected series may 
cancel a declaration of acceleration of maturity.
(section 502)
Except in cases of default, where the trustee has some special duties, the 
trustee is not required to take any action under the indenture at the request 
of any holders unless the direct holders offer the trustee reasonable 
protection, called an indemnity, against costs, expenses and liability.

(section 603)
If reasonable indemnity is provided, the direct holders of a majority in 
principal amount of the outstanding debt securities of the relevant series may 
direct the time, method and place of conducting any lawsuit or other formal 
legal action seeking any remedy available to the trustee. These majority 
direct holders may also direct the trustee in performing any other action 
under the indenture.
(section 512)
Before you bypass the trustee and bring your own lawsuit or other formal legal 
action or take other steps to enforce your rights or protect your interests 
relating to the debt securities, the following must occur:
.
You must give the trustee written notice that an event of default has occurred 
and remains uncured.
.
The direct holders of at least 25% in principal amount of all outstanding debt 
securities of the relevant series must make a written request that the trustee 
take action because of the default, and must offer indemnity reasonably 
satisfactory to the trustee against the cost, expenses and other liabilities 
of taking that action.
.
The trustee must have not received from direct holders of a majority in 
principal amount of the outstanding debt securities of that series a direction 
inconsistent with the written notice.
.
The trustee must have not taken action for 60 days after receipt of the above 
notice and offer of indemnity. (
section 507)
However, you are entitled at any time to bring a lawsuit for the payment of 
money due on your debt security on or after its due date.
(section 508)
Street name and other indirect holders should consult their banks or brokers 
for information on how to give notice or direction to or make a request of the 
trustee and to make or cancel a declaration of acceleration.
We will furnish to the trustee every year a written statement of our principal 
executive, financial or accounting officer certifying that to the best of such 
signer's knowledge we are in compliance with the indenture and the debt 
securities, or else specifying any default.
(section 1004)
                                       13                                       
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                       Our Relationship with the Trustee                        
U.S. Bank Trust National Association is the trustee under the indenture. The 
trustee performs services for us and our affiliates in the ordinary course of 
business.
                                       14                                       
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            DESCRIPTION OF DEBT SECURITIES MSD NETHERLANDS MAY OFFER            
                                    General                                     
In this section, references to (i) the "Issuer," "we," "our" and "us" are to 
MSD Netherlands Capital B.V., and (ii) "Parent" are to Merck & Co., Inc., 
Rahway, N.J., USA, excluding its consolidated subsidiaries. "You" means direct 
holders and not street name or other indirect holders of debt securities. 
Indirect holders should read the information under the caption "Legal 
Ownership and Book-Entry Issuance."
The debt securities are not secured by any of our or Parent's property or 
assets. Accordingly, your ownership of debt securities means you are one of 
our unsecured creditors. The debt securities are not subordinated to any of 
our other debt obligations and therefore they rank equally with all our other 
unsecured and unsubordinated indebtedness. The guarantees are not subordinated 
to any of Parent's other debt obligations and therefore they rank equally with 
all of Parent's other unsecured and unsubordinated indebtedness.
As required by federal law for all bonds and notes that are publicly offered, 
a document called the indenture will govern the debt securities. The indenture 
will be a contract, which we may amend in the future, between us, Parent and 
U.S. Bank Trust National Association, which acts as trustee. The trustee has 
two main roles. First, the trustee can enforce your rights against us and 
Parent if we or Parent default. There are some limitations on the extent to 
which the trustee acts on your behalf, described under "-Defaults and 
Remedies-Events of Default-Remedies if an Event of Default Occurs." Second, 
the trustee performs administrative duties for us, such as sending you 
interest payments, registering transfers of your debt securities to a new 
buyer if you sell and sending you notices.
The indenture and its associated documents will contain the full legal text of 
the matters described in this section. New York law will govern the indenture 
and the debt securities. The indenture is an exhibit to our registration 
statement of which this prospectus forms a part. See "Where You Can Find More 
Information" for information on how to obtain a copy.
The indenture will provide that the Issuer will appoint Parent as agent for 
service of process in any suit, action or proceeding with respect to the 
indenture, the notes or the Parent guarantee brought in any federal or state 
court located in the Borough of Manhattan in the City, County and State of New 
York and the Issuer and Parent will submit to jurisdiction.
We are a wholly-owned finance subsidiary of Parent and have no assets or 
operations other than as related to the issuance, administration and repayment 
of any debt securities that we may issue from time to time that will be fully 
and unconditionally guaranteed by Parent. Parent will unconditionally and 
irrevocably guarantee, on an unsecured senior basis, the payment of all of our 
obligations under each series of debt securities offered hereunder and all 
other amounts owed under the indenture pursuant to a guarantee to be included 
in the indenture. If we default in the payment of the principal of, or 
premium, if any, or interest on, such debt securities when and as the same 
shall become due, whether upon maturity, acceleration, or otherwise, or any 
other amounts owed under the indenture, without the necessity of action by the 
trustee or any holder of such debt securities, Parent shall be required 
promptly and fully to make such payment.
We may issue as many distinct series of debt securities under the indenture as 
we wish. There is no limit on the amount of debt securities we may issue under 
the indenture and the provisions of the indenture allow us to issue debt 
securities with terms different from those previously issued under the 
indenture. Also, we may "reopen" a previous issue of a series of debt 
securities and issue additional debt securities of that series. We may issue 
debt securities in amounts that exceed the total amount specified on the cover 
of your prospectus supplement at any time without your consent and without 
notifying you.
This section summarizes all the material terms of the debt securities that are 
common to all series unless otherwise indicated in the prospectus supplement 
relating to a particular series. Because this section is a summary, it does 
not describe every aspect of the debt securities and is subject to and 
qualified in its entirety by reference to all the provisions of the indenture, 
including definitions of some of the terms used in the indenture. We describe 
the meaning for only some of the important terms. We also include references 
in parentheses to some sections of the indenture. Whenever we refer to 
particular sections or defined terms of the indenture in this prospectus or in 
the
                                       15                                       
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prospectus supplement, we incorporate by reference those sections or defined 
terms here or in the prospectus supplement.
We may issue the debt securities as original issue discount securities, which 
we would offer and sell at a substantial discount below their stated principal 
amount.
(section 101)
A prospectus supplement relating to original issue discount securities will 
describe the relevant tax consequences and any other special considerations 
applicable to them. We may also issue the debt securities as indexed 
securities or securities denominated in foreign currencies, currency units or 
composite currencies, as described in more detail in a prospectus supplement 
relating to any of these types of debt securities. A prospectus supplement 
relating to indexed debt securities or foreign currency debt securities will 
also describe any additional relevant tax consequences or other special 
considerations applicable to these types of debt securities.
In addition, we will describe the material specific financial, legal and other 
terms particular to debt securities of each series in a prospectus supplement 
relating to debt securities of that series. A prospectus supplement relating 
to debt securities of a series will describe the following terms of the debt 
securities:
.
the title of the debt securities of the series;
.
any limit on the total principal amount of the debt securities of the series;
.
the person to whom interest on a debt security is payable, if other than the 
holder on the regular record date;
.
the date or dates on which the debt securities of the series are scheduled to 
mature;
.
any rate or rates, which may be fixed or variable, per annum at which the debt 
securities of the series will bear interest, if any, and the date or dates 
from which any interest will accrue, and the basis upon which interest shall 
be calculated if other than on the basis of a 360-day year of twelve 30-day 
months;
.
the date or dates on which any interest on the debt securities of the series 
will be payable and the regular record date or dates we will use to determine 
who is entitled to receive each interest payment;
.
the place or places where the principal and any premium and interest will be 
payable;
.
any date after which, or any period or periods within which, and the price or 
prices at which, we will have the option to redeem the debt securities of the 
series, and the other detailed terms and provisions of any optional redemption 
right;
.
any obligation we will have to redeem the debt securities of the series under 
a sinking fund or analogous provision or to redeem your debt securities at 
your option and the period or periods during which, the price or prices at 
which and the other specific terms under which, we would be obligated to 
redeem the debt securities of the series under any obligation of this kind;

.
if other than minimum denominations of $2,000 and integral multiples of $1,000 
in excess thereof, the denominations in which we will issue the debt 
securities of the series;
.
if other than United States dollars, the currency of payment of the principal 
and any premium and interest on the debt securities of the series;
.
any index or other special method we will use to determine the amount of 
principal or any premium or interest we will pay on the debt securities of the 
series;
.
if we or you have a right to choose the currency, currency units or composite 
currencies in which payments on any of the debt securities of the series will 
be made, the currencies, currency units or composite currencies that we or you 
may elect, when we or you may make the election and the other specific terms 
of the right to make an election of this kind;
                                       16                                       
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.
if other than the principal amount, the portion of the principal amount of the 
debt securities of the series which will be payable upon the declaration of 
acceleration of the maturity of the debt securities of the series;
.
the applicability of the provisions described under "-Defeasance";
.
if we will issue the debt securities of the series in whole or in part in the 
form of global securities as described below under "Legal Ownership and 
Book-Entry Issuance-Global Securities," the name of the depository for the 
debt securities of the series and the circumstances under which the trustee 
may terminate the global securities and register separate debt securities in 
the names of persons other than the depository or its nominee if other than 
those circumstances described under "Legal Ownership and Book-Entry 
Issuance-Global Securities-Special Situations When a Global Security will be 
Terminated"; and
.
any other special terms of the debt securities of the series that are not 
inconsistent with the provisions of the indenture.
(section 301)
We will attach the prospectus supplement relating to the debt securities of 
the series to the front of this prospectus.
We may issue debt securities other than the debt securities described in this 
prospectus. There is no requirement that we issue any other debt securities 
under the indenture described herein. Thus, we may issue any other debt 
securities under other indentures or documentation, containing provisions 
different from those included in the indenture or applicable to one or more 
issues of the debt securities described in this prospectus.
Without limiting the foregoing, we and the trustee may enter into one or more 
supplemental indentures with one or more of Parent's direct or indirect 
subsidiaries providing for a full and unconditional guarantee by such 
subsidiaries of the payment of principal of, premium, if any, and interest on 
and "additional amounts" with respect to these debt securities when due, 
whether at maturity or otherwise. The debt securities described herein and 
Parent's and any other guarantor's guarantees thereof will be effectively 
subordinated to any secured debt we incur or to any secured debt Parent or 
such other guarantor incurs to the extent of the value of such security. The 
debt securities and Parent's or any other guarantor's guarantees thereof will 
also be structurally subordinated to all indebtedness of Parent's or such 
other guarantor's subsidiaries that are not obligors of the debt securities.

                     Overview of Remainder of this Section                      
The remainder of this section summarizes:
.
Additional mechanics
relevant to the debt securities under normal circumstances, such as how you 
transfer ownership and where we make payments.
.
Your rights under several
special situations
, such as if we or Parent merge with another company or if we want to change a 
term of the debt securities.
.
Restrictive covenants
contained in the indenture which specify particular business actions that 
Parent promises not to take. Particular debt securities of a series may have 
additional restrictive covenants.
.
Our right to release ourselves and Parent from all or some of our and Parent's 
obligations under the debt securities and the indenture by a process called
defeasance
.
.
Your rights if we or Parent
default
or experience other financial difficulties.
.
Our relationship with the trustee.
                                       17                                       
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                              Additional Mechanics                              
Form, Exchange and Registration of Transfer
We will issue the debt securities:
.
only in fully registered form;
.
without interest coupons; and
.
unless otherwise indicated in the prospectus supplement, in minimum 
denominations of $2,000 and any integral multiple of $1,000 in excess thereof.

(section 302)
You may have your debt securities broken into more debt securities of smaller 
denominations of not less than $2,000 or combined into fewer debt securities 
of larger denominations, as long as the total principal amount is not changed.

(section 305)
This is called an exchange.
You may exchange or register a transfer of debt securities at the office of 
the trustee. The trustee acts as our agent for registering debt securities in 
the names of holders and registering transfers of debt securities. We may 
change this appointment to another entity or perform it ourselves. The entity 
performing the role of maintaining the list of registered direct holders is 
called the security registrar. It will also register transfers.
(section 305)
You may also replace lost, stolen or mutilated debt securities at that office.
(section 306)
The trustee's agent may require an indemnity before replacing any debt 
securities.
You will not be required to pay a service charge to register a transfer of 
debt securities or to exchange debt securities, but you may be required to pay 
for any tax or other governmental charge associated with the transfer or 
exchange. The security registrar will make the registration of transfer or 
exchange only if it is satisfied with your proof of ownership.
(section 305)
If we have designated additional trustees, they are named in the prospectus 
supplement. We may cancel the designation of any particular trustee. We may 
also approve a change in the office through which any trustee acts.
(section 1002)
If the debt securities are redeemable and we redeem less than all of the debt 
securities of a particular series, we may block the issuance of, registration 
of transfer or exchange of debt securities during the period beginning 15 days 
before the day we transmit the notice of redemption and ending on the day of 
that transmission, in order to freeze the list of holders to prepare the 
transmission. We may also refuse to register transfers or exchanges of debt 
securities selected for redemption, except that we will continue to permit 
transfers and exchanges of the unredeemed portion of any debt security being 
partially redeemed.
(section 305)
The rules for exchange described above apply to exchange of debt securities 
for other debt securities of the same series and tenor.
Payment and Paying Agents
We will pay interest to you on each date interest is due if you are a direct 
holder listed in the trustee's records at the close of business on a 
particular day in advance of each due date for interest, even if you no longer 
own the debt security on the interest due date. That particular day is called 
the regular record date and is stated in the prospectus supplement.
(section 307)
Holders buying and selling debt securities must work out between them how to 
compensate for the fact that we will pay all the interest for an interest 
period to the one who is the registered holder on the regular record date.

Unless otherwise stated in the prospectus supplement, we will pay interest, 
principal and any other money due on the debt securities at the corporate 
trust office of the trustee in New York City.
(section 1002)
That office is currently located at 100 Wall Street, 6th floor, New York, New 
York 10005. You must make arrangements to have your payments picked up at or 
wired from that office. We may also choose to pay interest by mailing checks.

                                       18                                       
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Street name and other indirect holders should consult their banks or brokers 
for information on how they will receive payments.
We may also arrange for additional payment offices, and may cancel or change 
these offices, including our use of the trustee's corporate trust office. 
These offices are called paying agents. We may also choose to act as our own 
paying agent. We must notify you of changes in the paying agents for any 
particular debt securities of the series.
(section 1002)
Notices
We and the trustee will send notices regarding the debt securities only to 
direct holders, using their addresses as listed in the trustee's records.
(section 106)
All paying agents must return to us upon our request all money paid by us that 
remains unclaimed two years after the amount is due to direct holders. After 
that two-year period, you may look only to us or Parent for payment and not to 
the trustee, any other paying agent or anyone else.
(section 1003)
                               Special Situations                               
Mergers and Similar Events
We or Parent may consolidate or merge with another company or firm. We or 
Parent may also convey, transfer or lease all of our or Parent's properties 
and assets substantially as an entirety to another firm, or buy or lease 
substantially all of the assets of another firm. However, we and Parent may 
not take any of these actions unless the following conditions, among others, 
are met:
.
In the case of the Issuer, we are the surviving entity or, when we merge out 
of existence or convey, transfer or lease all of our properties and assets 
substantially as an entirety, the other firm must be Parent or a corporation, 
limited liability company, partnership or trust organized under the laws of a 
U.S. state or the District of Columbia or under Federal law or under the laws 
of Switzerland, the United Kingdom, The Netherlands or any other member state 
of the European Union as of the date of the indenture and it must agree to be 
legally responsible for the debt securities.
.
In the case of Parent, Parent is the surviving entity or, when Parent merges 
out of existence or conveys, transfers or leases all of its properties and 
assets substantially as an entirety, the other firm must be a corporation, 
limited liability company, partnership or trust organized under the laws of a 
U.S. state or the District of Columbia or under Federal law and it must agree 
to be legally responsible for the guarantees of the debt securities.
.
The merger, sale of assets or other transaction must not cause a default on 
the debt securities, and we and Parent must not already be in default unless 
the merger or other transaction would cure the default. For purposes of this 
no-default test, a default would include an event of default, as described 
under "-Default and Remedies-Events of Default-What is an Event of Default," 
that has occurred and not been cured. A default for this purpose would also 
include the occurrence of any event that would be an event of default if we or 
Parent received the required notice of our or Parent's default or if under the 
indenture the default would become an event of default after existing for a 
specific period of time.
.
It is possible that the merger, sale of assets or other transaction would 
cause some of our or Parent's property to become subject to a mortgage or 
other legal mechanism giving lenders preferential rights in that property over 
other lenders or over our or Parent's, as the case may be, general creditors 
if we or Parent, as the case may be, fail to pay them back. Parent has 
promised to limit these preferential rights, as discussed under "-Restrictive 
Covenants." If a merger or other transaction would create any liens on any of 
Parent's property, Parent must comply with those restrictive covenants. Parent 
would do this either by deciding that the liens were permitted, or by 
following the requirements of the restrictive covenants to grant an equivalent 
or higher-ranking lien to you and the other direct holders of the debt 
securities on the same property that Parent owns.
(section 801)
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If the conditions described above are satisfied with respect to any series of 
debt securities, we and Parent will not need to obtain the approval of the 
holders of those debt securities in order to merge or consolidate or to sell 
assets. Also, these conditions will apply only if we or Parent, as the case 
may be, wish to merge or consolidate with another entity or convey, transfer 
or lease all of our or Parent's properties and assets substantially as an 
entirety. We and Parent will not need to satisfy these conditions if we or 
Parent enter into other types of transactions, including any transaction in 
which we or Parent, as the case may be, acquire the stock or assets of another 
entity, any transaction that involves a change of control but in which we or 
Parent, as the case may be, do not merge or consolidate and any transaction in 
which we or Parent, as the case may be, convey, transfer or lease less than 
all of our or Parent's, as the case may be, properties and assets 
substantially as an entirety. It is possible that these other types of 
transactions may result in a reduction in our or Parent's credit rating, may 
reduce Parent's operating results or may impair Parent's financial condition. 
However, you will have no approval right with respect to any transaction of 
this type.
Modification and Waiver
There are three types of changes we can make to the indenture and the debt 
securities.
Changes Requiring Your Approval
. First, there are changes that cannot be made to your debt securities without 
your specific approval. Following is a list of those types of changes:
.
change the payment due date of any installment of the principal or any premium 
or interest on a debt security stated in the debt security;
.
reduce any amounts due on a debt security;
.
reduce the amount of principal payable upon acceleration of the maturity of an 
original issue discount debt security following a default;
.
release Parent from its obligations in respect of the guarantee of any debt 
security or modify Parent's obligations thereunder in any manner materially 
adverse to holders of such debt security, in each case other than in 
accordance with the indenture;
.
change the place or currency of payment on a debt security;
.
impair your right to sue for payment;
.
reduce the percentage of debt securities the holders of which must consent to 
modify or amend the indenture;
.
reduce the percentage of debt securities the holders of which must consent to 
waive compliance with certain provisions of the indenture or to waive certain 
defaults; and
.
modify any other aspect of the provisions dealing with modification and waiver 
of the indenture except to increase any such percentage or to provide that 
certain other provisions of the indenture cannot be modified or waived without 
the consent of the holder of each outstanding security affected thereby.
(section 902)
Changes Requiring a Majority Vote
. The second type of change to the indenture and the debt securities is the 
kind that requires a vote in favor by direct holders owning not less than a 
majority of the principal amount of the
debt securities of the particular series affected
.
(section 902)
Most changes fall into this category, such as if we wish to obtain a waiver of 
all or part of the restrictive covenants described below, or a waiver of a 
past default. However, we cannot obtain a waiver of a payment default or any 
other aspect of the indenture or the debt securities listed in the first 
category above under "-Changes Requiring Your Approval" unless we obtain your 
individual consent to the waiver.
(section 513)
Changes Not Requiring Approval
. The third type of change does not require any vote by holders of debt 
securities. This type is limited to the addition of a guarantee, the release 
of a guarantee (other than the Parent guarantee), corrections and 
clarifications and other changes that would not adversely affect holders of 
the debt securities.
(section 901)
                                       20                                       
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Further Details Concerning Voting
. When taking a vote, we will use the following rules to decide how much 
principal amount to attribute to a debt security:
.
For original issue discount securities, we will use the principal amount that 
would be due and payable on the voting date if the maturity of the debt 
securities were accelerated to that date because of a default.
.
For debt securities for which the principal amount is undetermined because, 
for example, it is based on an index, we will use a special rule for that 
series of debt security that we will describe in the prospectus supplement.

.
For debt securities denominated in one or more foreign currencies or currency 
units, we will use the U.S. dollar equivalent.
Debt securities will not be considered outstanding and therefore will not 
carry voting rights if we have deposited or set aside in trust for you money 
for their payment or redemption. Debt securities will also not be eligible to 
vote if they have been fully defeased as described under "-Defeasance-Full 
Defeasance."
(section 1302)
We may set any day as a record date for the purpose of determining the direct 
holders of outstanding debt securities that are entitled to vote or take other 
action under the indenture.
(section 104)
In some circumstances, the trustee may set a record date for action by direct 
holders.
Street name and other indirect holders should consult their banks or brokers 
for information on how approval may be granted or denied if we seek to change 
the indenture or the debt securities or request a waiver.
                             Restrictive Covenants                              
In the following description of restrictive covenants, we use several 
specialized terms without explaining the meaning when we use the terms. We 
define these terms, which appear in
bold, italicized
type without quotation marks the first time they appear, in "-Definitions 
Relating to the Restrictive Covenants" at the end of this subsection.
Restrictions on Secured Debt
. Some of Parent's property may be subject to a mortgage or other legal 
mechanism that gives Parent's lenders preferential rights in that property 
over other lenders, including you and the other direct holders of the debt 
securities, or over Parent's general creditors if Parent fails to pay them 
back. These preferential rights are called liens. Debt which is protected by 
these preferential rights is called secured debt. In the indenture, Parent 
promises that neither Parent nor its
domestic subsidiaries
will incur any new secured debt that is secured by a lien on any of Parent's 
or its domestic subsidiaries'
principal domestic manufacturing properties
, or on any shares of stock of any of Parent's domestic subsidiaries that own 
or lease a principal domestic manufacturing property, unless Parent grants an 
equivalent or higher-ranking lien on the same property to you and the other 
direct holders of the debt securities.
Parent does not need to comply with this restriction if the amount of all debt 
that would be secured by liens on principal domestic manufacturing properties, 
including the new debt and all
attributable debt
that results from a sale and leaseback transaction involving principal 
domestic manufacturing properties, is less than 10% of Parent's
consolidated net tangible assets
.
This restriction on secured debt does not apply to debt secured by certain 
types of liens, and Parent can disregard this secured debt when Parent 
calculates the limits imposed by this restriction. These types of liens are:

.
liens on the property of any of Parent's domestic subsidiaries, or on their 
shares of stock, if those liens existed at the time the corporation became 
Parent's domestic subsidiary;
.
with respect to any series of debt securities, any lien existing on the date 
of issuance of such debt securities;
.
liens in favor of Parent or its domestic subsidiaries;
                                       21                                       
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.
liens in favor of U.S. governmental bodies that Parent granted in order to 
assure Parent's payments to such bodies that Parent owes by law or because of 
a contract Parent entered into;
.
liens in favor of any customer arising in respect of payments made by or on 
behalf of a customer for goods produced for, or services rendered to, 
customers in the ordinary course of business not exceeding the amount of those 
payments;
.
statutory liens, liens for taxes or assessments or governmental charges or 
levies not yet due or delinquent or which can be paid without penalty or are 
being contested in good faith, landlord's liens on leased property, easements 
and other liens of a similar nature;
.
liens on property or shares of stock that existed at the time Parent acquired 
them, including property Parent may acquire through a merger or similar 
transaction, or that Parent granted in order to purchase the property, which 
are sometimes called purchase money mortgages; and
.
debt secured by liens that extend, renew or replace any of these types of liens.
Parent and its subsidiaries may have as much unsecured debt as they may choose.
(section 1006)
Restrictions on Sales and Leasebacks
. Parent promises that neither Parent nor any of its domestic subsidiaries 
will enter into any sale and leaseback transaction involving a principal 
domestic manufacturing property, unless Parent complies with this restrictive 
covenant. A sale and leaseback transaction generally is an arrangement between 
Parent or a domestic subsidiary and a bank, insurance company or other lender 
or investor where Parent or the domestic subsidiary sells a property to a 
lender or investor more than 120 days after the acquisition of the property or 
the completion of construction of the property and the beginning of its full 
operation and Parent or any of its domestic subsidiaries' leases the property 
back from the lender.
Parent can comply with this restrictive covenant in either of two ways:
.
First, Parent will be in compliance if Parent or its domestic subsidiary could 
grant a lien on the principal domestic manufacturing property in an amount 
equal to the attributable debt for the sale and leaseback transaction without 
being required to grant an equivalent or higher-ranking lien to you and the 
other direct holders of the debt securities under the restriction on secured 
debt described above.
.
Second, Parent can comply if Parent retires an amount of Parent's or any of 
its domestic subsidiaries'
funded debt
which is not subordinated in right of payment to any outstanding debt 
securities, within 120 days of the transaction, equal to the greater of the 
net proceeds of the sale of the principal domestic manufacturing property that 
Parent or any of its domestic subsidiaries leases in the transaction or the 
fair market value of that property, subject to credits for voluntary 
retirements of debt securities and funded debt Parent or the domestic 
subsidiary may make.
This restriction on sales and leasebacks does not apply to any sale and 
leaseback transaction that is between Parent and one of its domestic 
subsidiaries or between domestic subsidiaries, or that involves a lease for a 
period of three years or less.
(section 1007)
Definitions Relating to the Restrictive Covenants
. Following are summaries of the meanings of the terms that are important in 
understanding the restrictive covenants previously described:
.
"
Attributable debt
" means the total net amount of rent, discounted at 1% per annum over the 
weighted average yield to maturity of the outstanding debt securities 
compounded semi-annually, that is required to be paid during the remaining 
term of any lease.
.
"
Consolidated net tangible assets
" is the total amount of assets, less reserves and certain other permitted 
deductible items, after subtracting all current liabilities and all goodwill, 
trade names, trademarks, patents, unamortized debt discounts and expenses and 
similar intangible assets, as such amounts appear on Parent's most recent 
consolidated balance sheet and computed in accordance with generally accepted 
accounting principles.
                                       22                                       
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.
A "
domestic subsidiary
" means any of Parent's subsidiaries which transacts substantially all of its 
business in the United States, has substantially all of its fixed assets 
located in the United States, or owns or leases any principal domestic 
manufacturing property. However, a subsidiary whose principal business is 
financing Parent's operations outside of the United States is not a domestic 
subsidiary. A subsidiary is a corporation in which Parent and/or one or more 
of its other subsidiaries owns at least 50% of the voting stock (generally 
defined as stock that ordinarily permits its owners to vote for the election 
of directors).
.
"
Funded debt
" means all debt for borrowed money that either has a maturity of 12 months or 
more from the date on which the calculation of funded debt is made or has a 
maturity of less than 12 months from that date but is by its terms renewable 
or extendible beyond 12 months from that date at the option of the borrower.
.
A "
principal domestic manufacturing property
" is any building or other structure or facility, and the land on which it 
sits and its associated fixtures, that Parent uses primarily for manufacturing, 
processing or warehousing, that is located in the United States and that has a 
gross book value in excess of 1% of Parent's consolidated net tangible assets, 
other than a building, structure or other facility that Parent's board of 
directors has determined is not of material importance to the total business 
that Parent and its subsidiaries conduct or a building or structure which is 
financed by obligations issued by a state, a territory, or a possession of the 
United States, or any political subdivision of any of the foregoing, or the 
District of Columbia, the interest of which is excludable from gross income of 
the holders under provisions of the tax code.
                                   Defeasance                                   
The following discussion of full defeasance and covenant defeasance will be 
applicable to your debt securities only if we choose to have those provisions 
apply to securities of that series. If we do so choose, we will state that in 
the prospectus supplement.
(section 1301)
Full Defeasance
. We can legally release ourselves and Parent from any payment or other 
obligations on the debt securities of a series and Parent's related guarantee 
thereof if we put in place other arrangements for you to be repaid. This is 
called full defeasance. In order to achieve full defeasance, we or Parent must 
do the following, among other things:
.
We or Parent must deposit or cause to be deposited in trust for your benefit 
and the benefit of all other direct holders of the debt securities of the 
series any combination of money and U.S. government or U.S. government agency 
notes or bonds that will generate enough cash to make interest, principal and 
any other payments on the debt securities of that series on their various due 
dates.
.
We or Parent must deliver to the trustee a legal opinion of counsel confirming 
that (x) there has been a change in the applicable U.S. federal income tax law 
or (y) we or Parent have received from, or there has been published by, the 
IRS a ruling, in either case, to the effect that, and based thereon such 
opinion shall confirm that, you will not be subject to U.S. federal income tax 
on the debt securities any differently than if we or Parent did not make or 
cause to be made the deposit and just repaid the debt securities ourselves.
If we ever did accomplish full defeasance, as described above, you would have 
to rely solely on the trust deposit for repayment on the debt securities. You 
could not look to us or Parent for repayment in the unlikely event of any 
shortfall.
(sections 1302 and 1304)
Covenant Defeasance
. We or Parent can make or cause to be made the same type of deposit described 
above and we and Parent can be released from some of the restrictive covenants 
in the debt securities. This is called covenant defeasance. In that event, you 
would lose the protection of those restrictive covenants but would gain the 
protection of having money and securities set aside in trust to repay the debt 
securities. In order to achieve covenant defeasance of the debt securities of 
a series, we or Parent must do or cause to be done the following:
.
We or Parent must deposit or cause to be deposited in trust for your benefit 
and the benefit of all other direct holders of the debt securities of the 
series any combination of money and U.S. government or U.S.
                                       23                                       
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government agency notes or bonds that will generate enough cash to make 
interest, principal and any other payments on the debt securities on their 
various due dates.
.
We or Parent must deliver to the trustee a legal opinion of counsel confirming 
that you will not be subject to U.S. federal income tax on the debt securities 
any differently than if we or Parent did not make or cause to be made the 
deposit and just repaid the debt securities ourselves.
If we accomplish covenant defeasance, the following provisions of the 
indenture and the debt securities would no longer apply:
.
Parent's promises regarding conduct of its business previously described under 
"-Restrictive Covenants," and any other covenants applicable to the debt 
securities of the series and described in the prospectus supplement.
.
Restrictions regarding mergers or similar transactions, as described under 
"-Special Situations-Mergers and Similar Events."
.
The events of default relating to mergers or similar transactions, either of 
the restrictive covenants described under "-Restrictive Covenants" and any 
other event of default applicable to the debt securities of the series and 
described in the prospectus supplement as subject to defeasance.
If we accomplish covenant defeasance, you can still look to us and Parent for 
repayment of the debt securities if there were a shortfall in the trust 
deposit. In fact, if one of the remaining events of default occurred, such as 
our or Parent's bankruptcy, and the debt securities become immediately due and 
payable, there may be such a shortfall in the trust deposit.
(sections 1303 and 1304)
                     Default and Remedies-Events of Default                     
You will have special rights if an event of default occurs and is not cured, 
as described later in this subsection.
What Is an Event of Default?
The term event of default with respect to your series of debt securities means 
any of the following:
.
Failure to pay the principal or any premium on a debt security of your series 
on its due date.
.
Failure to pay interest on a debt security of your series within 30 days of 
its due date.
.
Failure to deposit money into a separate custodial account known as a sinking 
fund when such deposit is due, if we agreed to maintain a sinking fund for 
your debt securities and other debt securities of the same series.
.
We or Parent, as the case may be, remain in breach of either of the 
restrictive covenants described under "-Restrictive Covenants" or any other 
covenant or warranty in the indenture for 90 days after we or Parent, as 
applicable, receive a notice of default stating we are or Parent is in breach. 
The notice must be sent by either the trustee or direct holders of at least 
25% of the principal amount of debt securities of the affected series.
.
We or Parent file for bankruptcy or other specific events of bankruptcy, 
insolvency or reorganization occur.
.
Parent's guarantee of the debt securities is determined in a final, 
non-appealable judgment to be unenforceable or invalid or Parent denies or 
disaffirms in writing its obligations under its guarantee, other than in 
accordance with the terms thereof or upon release of the guarantee in 
accordance with the indenture.
.
Any other event of default described in the prospectus supplement occurs.
(section 501)
                                       24                                       
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Remedies if an Event of Default Occurs.
If an event of default has occurred and has not been cured, the trustee or the 
direct holders of at least 25% in principal amount of the outstanding debt 
securities of the affected series may declare the entire principal amount of 
all the debt securities of that series to be due and immediately payable. This 
is called a declaration of acceleration. The direct holders of at least a 
majority in principal amount of the debt securities of the affected series may 
cancel a declaration of acceleration of maturity.
(section 502)
Except in cases of default, where the trustee has some special duties, the 
trustee is not required to take any action under the indenture at the request 
of any holders unless the direct holders offer the trustee reasonable 
protection, called an indemnity, against costs, expenses and liability.

(section 603)
If reasonable indemnity is provided, the direct holders of a majority in 
principal amount of the outstanding debt securities of the relevant series may 
direct the time, method and place of conducting any lawsuit or other formal 
legal action seeking any remedy available to the trustee. These majority 
direct holders may also direct the trustee in performing any other action 
under the indenture.
(section 512)
Before you bypass the trustee and bring your own lawsuit or other formal legal 
action or take other steps to enforce your rights or protect your interests 
relating to the debt securities, the following must occur:
.
You must give the trustee written notice that an event of default has occurred 
and remains uncured.
.
The direct holders of at least 25% in principal amount of all outstanding debt 
securities of the relevant series must make a written request that the trustee 
take action because of the default, and must offer indemnity reasonably 
satisfactory to the trustee against the cost, expenses and other liabilities 
of taking that action.
.
The trustee must have not received from direct holders of a majority in 
principal amount of the outstanding debt securities of that series a direction 
inconsistent with the written notice.
.
The trustee must have not taken action for 60 days after receipt of the above 
notice and offer of indemnity.
(section 507)
However, you are entitled at any time to bring a lawsuit for the payment of 
money due on your debt security on or after its due date.
(section 508)
Street name and other indirect holders should consult their banks or brokers 
for information on how to give notice or direction to or make a request of the 
trustee and to make or cancel a declaration of acceleration.
We will furnish to the trustee every year a written statement of one of our 
officers certifying that to the best of such signer's knowledge we are in 
compliance with the indenture and the debt securities, or else specifying any 
default.
(section 1004)
                       Our Relationship with the Trustee                        
U.S. Bank Trust National Association is the trustee under the indenture. The 
trustee performs services for Parent and its affiliates in the ordinary course 
of business.
                                       25                                       
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                    LEGAL OWNERSHIP AND BOOK-ENTRY ISSUANCE                     
In this section, references to "we," "our" and "us" are to (i) Merck & Co., 
Inc., Rahway, N.J., USA, excluding its consolidated subsidiaries, in the case 
of debt securities issued by Merck & Co., Inc., Rahway, N.J., USA and (ii) MSD 
Netherlands Capital B.V. in the case of debt securities issued by MSD 
Netherlands Capital B.V.
Street Name and Other Indirect Holders
We generally will not recognize investors who hold debt securities in accounts 
at banks or brokers as legal holders of debt securities. Holding in that way 
is called holding in street name. Instead, we would recognize only the bank or 
broker, or the financial institution the bank or broker uses to hold its debt 
securities. These intermediary banks, brokers and other financial institutions 
pass along principal, interest and other payments on the debt securities, 
either because they agree to do so in their customer agreements or because 
they are legally required to. If you hold debt securities in street name, you 
should check with your own institution to find out:
.
how it handles securities payments and notices;
.
whether it imposes fees or charges;
.
how it would handle voting if ever required;
.
whether and how you can instruct it to send you debt securities registered in 
your own name so you can be a direct holder as described below; and
.
how it would pursue rights under the debt securities if there were a default 
or other event triggering the need for holders to act to protect their 
interests.
Direct Holders
Our obligations, as well as the obligations of the trustee and those of any 
third parties employed by us or the trustee, run only to persons or entities 
who are the direct holders of debt securities, i.e., those who are registered 
as holders of debt securities. As noted above, we do not have obligations to 
you if you hold in street name or through other indirect means, either because 
you choose to hold debt securities in that manner or because we issued the 
debt securities in the form of global securities as described below. For 
example, once we make payment to the registered holder, we have no further 
responsibility for the payment even if that registered holder is legally 
required to pass the payment along to you as a street name customer but does 
not do so.
Global Securities
What is a Global Security?
A global security is a special type of indirectly held security, as described 
above under "-Street Name and Other Indirect Holders." If we choose to issue 
debt securities in the form of global securities only, the ultimate beneficial 
owners can only be indirect holders. We do this by requiring that the global 
security be registered in the name of a financial institution or clearing 
system, or their nominee, that we select and by requiring that the debt 
securities included in the global security not be transferred to the name of 
any other direct holder unless the special circumstances described below 
occur. The financial institution that acts as the sole direct holder of the 
global security is called the depository. The Depository Trust Company, New 
York, New York, known as DTC, may be a depository for one or more series of 
debt securities. For information regarding DTC, see "-Considerations Relating 
to DTC."
Any person wishing to own a debt security included in a global security must 
do so indirectly by virtue of an account with a broker, bank or other 
financial institution that in turn has an account with the depository. The 
prospectus supplement indicates whether we will issue your debt securities 
only in the form of global securities.
Special Investor Considerations for Global Securities
. The account rules of your financial institution and the rules of the 
depository, as well as general laws relating to securities transfers, will 
govern your rights as an indirect holder of a global security. We will not 
recognize you as a registered holder of debt securities and instead will deal 
only with the depository that holds the global security.
                                       26                                       
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You should be aware that if debt securities are issued only in the form of 
global securities:
.
You cannot have debt securities registered in your own name.
.
You cannot receive physical certificates for your interest in the debt 
securities.
.
You will be a street name holder and must look to your own bank or broker for 
payments on the debt securities and protection of your legal rights relating 
to the debt securities. See "-Street Name and Other Indirect Holders."
.
You may not be able to sell interests in the debt securities to some insurance 
companies and other institutions that are required by law to own their 
securities as direct holders.
.
The depository's policies will govern payments, transfers, exchange and other 
matters relating to your interest in the global security, and those policies 
may change from time to time. We and the trustee have no responsibility for 
any aspect of the depository's actions or for its records of ownership 
interests in the global security. We and the trustee also do not supervise the 
depository in any way.
.
Financial institutions that participate in the depositary's book-entry system 
and through which investors hold their interests in the global securities, 
directly or indirectly, may also have their own policies affecting payments, 
deliveries, transfers, exchanges, notices and other matters relating to the 
debt securities, and those policies may change from time to time. We do not 
monitor and are not responsible for the policies or actions or records of 
ownership interests of any of those intermediaries.
.
The depository will require that you purchase or sell interests in a global 
security within its system using same-day funds for settlement.
Special Situations When a Global Security will be Terminated
. In a few special situations described below, the trustee will terminate the 
global security and will exchange interests in it for separate certificates 
representing debt securities. After that exchange, the choice of whether to 
hold debt securities directly or in street name will be up to you. You must 
consult your own bank or broker to find out how to have your interests in the 
debt securities transferred to your own name, so that you will be a direct 
holder. We previously described the rights of street name investors and direct 
holders in the debt securities in the subsections entitled "-Street Name and 
Other Indirect Holders" and "-Direct Holders."
The special situations for termination of a global security are:
.
When the depository notifies us that it is unwilling, unable or no longer 
qualified to continue as depository,
.
When we notify the trustee that we wish to terminate the global security, or
.
When an event of default on the debt securities has occurred and has not been 
cured. Defaults are discussed under "Description of Debt Securities Parent May 
Offer-Default and Remedies-Events of Default" and "Description of Debt 
Securities MSD Netherlands May Offer-Default and Remedies-Events of Default."

The prospectus supplement may also list additional situations for terminating 
a global security that would apply only to the particular debt securities of 
the series covered by the prospectus supplement. When a global security 
terminates, the depository, and not we or the trustee, is responsible for 
deciding the names of the institutions that will be the initial direct holders.

(sections 204 and 305)
Considerations Relating to DTC
. DTC has informed us that it is a limited-purpose trust company organized 
under the New York Banking Law, a "banking organization" within the meaning of 
the New York Banking Law, a member of the Federal Reserve System, a "clearing 
corporation" within the meaning of the New York Uniform Commercial Code and a 
"clearing agency" registered pursuant to the provisions of Section 17A of the 
Exchange Act. DTC holds securities that DTC participants deposit with DTC. DTC 
also facilitates the post-trade settlement among DTC participants of 
securities transactions, such as transfers and pledges in deposited securities 
through
                                       27                                       
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electronic computerized book-entry changes in DTC participants' accounts, 
thereby eliminating the need for physical movement of certificates. DTC 
participants include securities brokers and dealers, banks, trust companies 
and clearing corporations, and certain other organizations. Indirect access to 
the DTC system also is available to others such as banks, brokers, dealers, 
trust companies and clearing corporations that clear through or maintain a 
custodial relationship with a participant, either directly or indirectly. DTC 
is a wholly owned subsidiary of The Depository Trust & Clearing Corporation, 
or DTCC. DTCC is the holding company for DTC, National Securities Clearing 
Corporation and Fixed Income Clearing Corporation, all of which are registered 
clearing agencies. DTCC is owned by the users of its regulated subsidiaries. 
The rules applicable to DTC and DTC participants are on file with the 
Commission.
Purchases of securities within the DTC system must be made by or through DTC 
participants, which will receive a credit for the securities on DTC's records. 
The ownership interest of each actual purchaser of the notes, which we refer 
to as the "beneficial owner," is in turn to be recorded on the DTC 
participants' records. Beneficial owners will not receive written confirmation 
from DTC of their purchase, but beneficial owners are expected to receive 
written confirmations providing details of the transactions, as well as 
periodic statements of their holdings from the direct or indirect DTC 
participant through which the beneficial owner entered into the transaction. 
Transfers of ownership interests in the global notes will be effected only 
through entries made on the books of DTC participants acting on behalf of 
beneficial owners. Beneficial owners will not receive certificates 
representing their ownership interests in the global notes, except in the 
event that use of the book-entry system for the notes is discontinued.
To facilitate subsequent transfers, all global securities deposited by direct 
participants with DTC will be registered in the name of DTC's partnership 
nominee, Cede & Co., or such other name as may be requested by an authorized 
representative of DTC. The deposit of securities with DTC and their 
registration in the name of Cede & Co. or such other nominee will not change 
the beneficial ownership of the securities. DTC has no knowledge of the actual 
beneficial owners of the securities. DTC's records reflect only the identity 
of the direct participants to whose accounts the securities are credited, 
which may or may not be the beneficial owners. The participants are 
responsible for keeping account of their holdings on behalf of their customers.

Conveyance of notices and other communications by DTC to direct participants, 
by direct participants to indirect participants, and by direct participants 
and indirect participants to beneficial owners will be governed by 
arrangements among them, subject to any statutory or regulatory requirements 
as may be in effect from time to time.
Redemption notices will be sent to DTC. If less than all of the securities of 
a particular series are being redeemed, DTC's practice is to determine by lot 
the amount of the interest of each direct participant in the securities of 
such series to be redeemed.
In instances in which a vote is required, generally, neither DTC nor Cede & 
Co. will itself consent or vote with respect to the securities. Under its 
usual procedures DTC would mail an omnibus proxy to us as soon as possible 
after the record date. The omnibus proxy assigns Cede & Co.'s consenting or 
voting rights to those direct participants to whose accounts such securities 
are credited on the record date (identified in a listing attached to the 
omnibus proxy).
Redemption proceeds, distributions and payments on the securities will be made 
by the trustee to Cede & Co., as nominee of DTC. DTC's practice is to credit 
direct participants' accounts upon DTC's receipt of funds and corresponding 
detail information from us on the payment date in accordance with their 
respective holdings shown on DTC records. Payments by participants to 
beneficial owners will be governed by standing instructions and customary 
practices and will be the responsibility of such participants and not of DTC, 
the trustee or us, subject to any statutory or regulatory requirements as may 
be in effect from time to time. Payment of redemption proceeds, distributions 
and dividend payments to Cede & Co. (or such other nominee as may be requested 
by an authorized representative of DTC) is the responsibility of us or the 
trustee, disbursement of such payments to direct participants will be the 
responsibility of DTC, and disbursement of such payments to the beneficial 
owners will be the responsibility of DTC, and disbursements of such payment to 
the beneficial owners will be the responsibility of direct and indirect 
participants.
                                       28                                       
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The information in this section concerning DTC and DTC's book-entry system has 
been obtained from sources that we believe to be accurate, but we assume no 
responsibility for the accuracy thereof. We do not have any responsibility for 
the performance by DTC or its participants of their respective obligations as 
described herein or under the rules and procedures governing their respective 
operations.
                                       29                                       
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                              PLAN OF DISTRIBUTION                              
In this section, references to "we," "our" and "us" are to (i) Merck & Co., 
Inc., Rahway, N.J., USA, excluding its consolidated subsidiaries, in the case 
of debt securities issued by Merck & Co., Inc., Rahway, N.J., USA and (ii) MSD 
Netherlands Capital B.V. in the case of debt securities issued by MSD 
Netherlands Capital B.V.
We may sell debt securities:
.
to or through underwriting syndicates represented by managing underwriters;
.
through one or more underwriters without a syndicate for them to offer and 
sell to the public;
.
through dealers or agents; and
.
directly to investors.
The debt securities we distribute by any of these methods may be sold to the 
public, in one or more transactions, either:
.
at a fixed price or prices, which may be changed;
.
at market prices prevailing at the time of sale;
.
at prices related to prevailing market prices; or
.
at negotiated prices.
We may sell debt securities from time to time to one or more underwriters, who 
would purchase the securities as principal for resale to the public, either on 
a firm-commitment or best-efforts basis. If we sell debt securities to 
underwriters, we may execute an underwriting agreement with them at the time 
of sale and will name them in the applicable prospectus supplement. In 
connection with those sales, underwriters may be deemed to have received 
compensation from us in the form of underwriting discounts or commissions and 
may also receive commissions from purchasers of the debt securities for whom 
they may act as agents. Underwriters may resell the debt securities to or 
through dealers, and those dealers may receive compensation in the form of 
discounts, concessions or commissions from the underwriters and/or commissions 
from purchasers for whom they may act as agents. The prospectus supplement 
will include any required information about underwriting compensation we pay 
to underwriters, and any discounts, concessions or commissions underwriters 
allow to participating dealers, in connection with an offering of debt 
securities.
We may solicit offers to purchase debt securities directly from the public 
from time to time. We may also designate agents from time to time to solicit 
offers to purchase debt securities from the public on our behalf. If required, 
the prospectus supplement relating to any particular offering of debt 
securities will name any agents designated to solicit offers, and will include 
information about any commissions we may pay the agents, in that offering. 
Agents may be deemed to be "underwriters" as that term is defined in the 
Securities Act.
From time to time, we may sell debt securities to one or more dealers acting 
as principals. The dealers, who may be deemed to be "underwriters" as that 
term is defined in the Securities Act, may then resell those debt securities 
to the public.
Any underwriter or agent involved in the offer and sale of any debt securities 
will be named in the prospectus supplement.
Underwriters, agents and dealers may be entitled, under agreements with us, to 
indemnification against certain civil liabilities, including liabilities under 
the Securities Act.
Each series of debt securities will be a new issue, and there will be no 
established trading market for any debt security prior to its original issue 
date. We may, but are not required to, list a particular series of debt 
securities on a securities exchange or quotation system. Any underwriters to 
whom we sell debt securities for public offering may
                                       30                                       
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make a market in those debt securities. However, no such underwriter that 
makes a market will be obligated to do so, and any of them may stop doing so 
at any time without notice. No assurance can be given as to the liquidity or 
trading market for any of the debt securities.
Unless otherwise indicated in your prospectus supplement or confirmation of 
sale, the purchase price of the debt securities will be required to be paid in 
immediately available funds in New York City.
In connection with an offering, the underwriters may purchase and sell debt 
securities in the open market. These transactions may include short sales, 
stabilizing transactions and purchases to cover positions created by short 
sales. Short sales involve the sale by the underwriters of a greater number of 
debt securities than they are required to purchase in an offering. Stabilizing 
transactions consist of certain bids or purchases made for the purpose of 
preventing or retarding a decline in the market price of the debt securities 
while an offering is in progress.
The underwriters may also impose a penalty bid. This occurs when a particular 
underwriter repays to the underwriters a portion of the underwriting discount 
received by it because the underwriters have repurchased debt securities sold 
by or for the account of that underwriter in stabilizing or short-covering 
transactions.
These activities by the underwriters may stabilize, maintain or otherwise 
affect the market price of the debt securities. As a result, the price of the 
debt securities may be higher than the price that otherwise might exist in the 
open market. If these activities are commenced, they may be discontinued by 
the underwriters at any time. These transactions may be effected on an 
exchange or automated quotation system, if the debt securities are listed on 
that exchange or admitted for trading on that automated quotation system, or 
in the over-the-counter market or otherwise.
Underwriters, dealers and agents may engage in transactions with or perform 
services for us and our affiliates in the ordinary course of their businesses.

                                       31                                       
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                          VALIDITY OF DEBT SECURITIES                           
Unless otherwise specified in a prospectus supplement, the validity of the 
debt securities and guarantees will be passed upon for us by Jennifer Zachary, 
our Executive Vice President and General Counsel, and for MSD Netherlands by 
Loyens & Loeff N.V. as to matters of Dutch law. As of May 8, 2024, Ms. Zachary 
owned, directly and indirectly, 29,234.177 shares of our common stock and 
options to purchase 198,223 shares of our common stock.
                                    EXPERTS                                     
The financial statements and management's assessment of the effectiveness of 
internal control over financial reporting (which is included in Management's 
Report on Internal Control Over Financial Reporting) incorporated in this 
prospectus by reference to the Company's Annual Report on Form 10-K for the 
year ended December 31, 2023 have been so incorporated in reliance on the 
report of PricewaterhouseCoopers LLP, an independent registered public 
accounting firm, given on the authority of said firm as experts in auditing 
and accounting.
                      WHERE YOU CAN FIND MORE INFORMATION                       
The Company is a reporting company under the Exchange Act and files annual, 
quarterly and current reports, proxy statements and other information with the 
Commission. MSD Netherlands does not and will not file separate reports with 
the Commission. The Commission maintains a website that contains reports, 
proxy and information statements, and other information regarding issuers, 
including the Company, that file electronically with the Commission. The 
public can obtain any documents that the Company files electronically with the 
Commission at the Commission's website,
www.sec.gov
. In addition, you may request copies of these filings at no cost by writing 
or telephoning us at the following address: Corporate Secretary, Merck & Co., 
Inc., Rahway, N.J., USA, 126 East Lincoln Avenue, Rahway, NJ 07065, (908) 
740-4000.
Parent and MSD Netherlands have filed with the Commission a registration 
statement on Form S-3 relating to the securities covered by this prospectus. 
This prospectus is a part of the registration statement and does not contain 
all the information in the registration statement. Whenever a reference is 
made in this prospectus or any prospectus supplement to a contract or other 
document filed or incorporated by reference as an exhibit to the registration 
statement, the reference is only a summary. For a copy of the contract or 
other document, you should refer to the exhibits that are a part of the 
registration statement or incorporated by reference into the registration 
statement by the filing of a Current Report on Form 8-K or otherwise. You may 
review a copy of the registration statement and the documents incorporated by 
reference through the Commission's website as listed above.
                                       32                                       
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                INCORPORATION OF CERTAIN DOCUMENTS BY REFERENCE                 
The following documents, filed by the Company with the Commission (File No. 
001-06571) pursuant to the Exchange Act are incorporated by reference in this 
prospectus: (a) our Annual Report on
Form 10-K
for the fiscal year ended December 31, 2023; (b) our Amendment No. 1 on
Form 10-K/A
to its Annual Report for the fiscal year ended December 31, 2023; (c) our 
Quarterly Report on
Form 10-Q
for the quarterly period ended March 31, 2024; (d) our Proxy Statement on
Schedule 14A
filed with the Commission on April 11, 2024, to the extent specifically 
incorporated by reference into Part III of our Annual Report on Form 10-K for 
the fiscal year ended December 31, 2023; and (e) our Current Reports on Form 
8-K filed on
February 1, 2024
(solely with respect to Item 2.05) and
February 20, 2024
.
Also, all documents filed by the Company with the Commission under File No. 
001-06571 pursuant to Sections 13(a), 13(c), 14, or 15(d) of the Exchange Act 
(not including Current Reports or portions thereof furnished under Item 2.02 
or Item 7.01 under Form 8-K) after the date of this prospectus and prior to 
termination of the relevant offering shall be deemed to be incorporated by 
reference herein and to be a part hereof from the date of such filing. Any 
statement contained in a document incorporated or deemed to be incorporated by 
reference herein shall be deemed to be modified or superseded for purposes 
hereof to the extent that a statement contained herein or in any other 
subsequently filed document that also is, or is deemed to be, incorporated by 
reference herein modifies or supersedes such statement. Any such statement so 
modified or superseded shall not be deemed, except as so modified or 
superseded, to constitute a part of this prospectus.
We will provide, without charge, copies of any document incorporated by 
reference into this prospectus, excluding exhibits other than those that are 
specifically incorporated by reference in this prospectus. You can obtain a 
copy of any document incorporated by reference by writing or calling us at our 
principal executive offices as follows:
                      Merck & Co., Inc., Rahway, N.J., USA                      
                            126 East Lincoln Avenue                             
                              Rahway, NJ 07065 USA                              
                                  908-740-1825                                  
                       Attention: Office of the Secretary                       
We have a website that is located at
www.msd.com
. Information on our website is not part of this prospectus, and you should 
not rely on that information in making your investment decision unless that 
information is also in this prospectus or has been expressly incorporated by 
reference into this prospectus. You may view a copy of any document 
incorporated by reference into this prospectus through the Commission's 
website,
www.sec.gov
.
                                       33                                       
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                            ENFORCEMENT OF JUDGMENTS                            
MSD Netherlands is incorporated under the laws of the Netherlands. The United 
States and the Netherlands currently do not have a treaty providing for the 
reciprocal recognition and enforcement of judgments, other than arbitration 
awards, in civil and commercial matters. Consequently, a final judgment for 
the payment of money rendered by any court in any federal or state court in 
the United States based on civil liability, whether or not predicated solely 
upon U.S. securities laws, would not automatically be recognized or 
enforceable in the Netherlands. In order to obtain a judgment which is 
enforceable in the Netherlands, the claim must be re-litigated before a 
competent Dutch court and the judgment rendered by the foreign court must be 
submitted in the course of such proceedings, in which case the Dutch court 
will have to decide whether and to what extent it, given the circumstances of 
the case, will recognize the foreign judgment. A Dutch court will, under 
current practice, generally grant the same judgment without relitigation on 
the merits if (a) that judgment results from proceedings compatible with the 
Dutch concept of due process, (b) that judgment does not contravene public 
policy (
openbare orde
) of the Netherlands, (c) the jurisdiction of the foreign court rendering that 
judgment has been based on an internationally acceptable ground and (d) the 
judgment by the foreign court is not incompatible with a judgment rendered 
between the same parties by a Dutch court, or with an earlier judgment 
rendered between the same parties by a non-Dutch court in a dispute that 
concerns the same subject and is based on the same cause, provided that the 
earlier judgment qualifies for recognition in the Netherlands, which, inter 
alia, entails that the judgment is enforceable in accordance with the laws of 
its country of origin. According to the Dutch Supreme Court (
Hoge Raad
), this will, inter alia, be lacking when an appeal has been filed which 
suspends the enforceability of the foreign judgment, when the foreign judgment 
was annulled by an appellate court and when the foreign judgment specifies it 
can only be enforced during a certain period that has expired or not yet 
commenced.
Subject to the to the foregoing and provided that service of process occurs in 
accordance with applicable treaties, investors may be able to enforce in the 
Netherlands, judgments in civil and commercial matters obtained from U.S. 
federal or state courts. However, no assurance can be given that such 
judgments will be enforceable. In addition, it is doubtful whether a Dutch 
court would accept jurisdiction and impose civil liability in an original 
action commenced in the Netherlands and predicated solely upon U.S. federal 
securities laws. Moreover, a Dutch court may reduce the amount of damages 
granted by a U.S. court and recognize damages only to the extent that they are 
necessary to compensate actual losses or damages. The enforcement and 
recognition of judgments of U.S. courts in the Netherlands are subject to the 
Dutch rules of civil procedure. Judgments may be rendered in a foreign 
currency but enforcement is executed in euros at the applicable rate of 
exchange. Enforcement of obligations in the Netherlands will be subject to the 
nature of the remedies available in the courts of the Netherlands. Under 
certain circumstances, a Dutch court has the power to stay proceedings 
(aanhouden) or to declare that it has no jurisdiction, if concurrent 
proceedings are being brought elsewhere.
                                       34                                       
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                                 3,400,000,000                                  
                          MSD Netherlands Capital B.V.                          
          (incorporated as a private company with limited liability (           
              besloten vennootschap met beperkte aansprakelijkheid              
                 ) in the Netherlands with its official seat (                  
                                statutaire zetel                                
                         ) in Haarlem, the Netherlands)                         
 Guaranteed on an unsecured senior basis by Merck & Co., Inc., Rahway, N.J., USA
                       850,000,000 3.250% Notes due 2032                        
                       850,000,000 3.500% Notes due 2037                        
                       850,000,000 3.700% Notes due 2044                        
                       850,000,000 3.750% Notes due 2054                        

  
  


  
  

                          Joint Book-Running Managers                           
                                   Citigroup                                    
                                  BNP PARIBAS                                   
                                 Deutsche Bank                                  
                                  Co-Managers                                   
                                      HSBC                                      
                                     Mizuho                                     
                                   Santander                                    
                                      BBVA                                      
                                  DNB Markets                                   
                Societe Generale Corporate & Investment Banking                 
                                      SMBC                                      
                                   US Bancorp                                   
                             Wells Fargo Securities                             
                                Drexel Hamilton                                 
                            Penserra Securities LLC                             
                             R. Seelaus & Co., LLC                              
                             Siebert Williams Shank                             

  
  

                                  May 16, 2024                                  

  
  


                                                                     Exhibit 107

                        Calculation of Filing Fee Tables                        
                                   424(b)(5)                                    
                                  (Form Type)                                   
                               Merck & Co., Inc.                                
                          MSD Netherlands Capital B.V.                          
             (Exact Name of Registrant as Specified in its Charter)             
             Table 1: Newly Registered and Carry Forward Securities             

                                                                                                                                    
               Security     Security         Fee           Amount          Proposed            Maximum         Fee Rate      Amount 
                 Type         Class      Calculation    Registered(1)       Maximum           Aggregate                     Registra
                              Title        or Carry                        Offering           Offering                         Fee(2
                                           Forward                         Price Per            Price                               
                                             Rule                            Unit                                                   
                                                                                                                                    
                                                                                                                                    
                                                                                                                                    
                                                                                                                                    
                                                                                                                                    
                                                                             Newly Registered Securities                            
  Fees to        Debt        3.250%          Rule       $915,705,000        99.736%        $913,287,538.80    0.00014760    $134,801
  Be Paid                     Notes         457(r)                                                                                  
                            due 2032                                                                                                
    Debt        3.500%     Rule 457(r)   $915,705,000      99.476%      $910,906,705.80      0.00014760       $134,449.83           
                Notes                                                                                                               
               due 2037                                                                                                             
    Debt        3.700%     Rule 457(r)   $915,705,000      99.555%      $911,630,112.75      0.00014760       $134,556.60           
                Notes                                                                                                               
               due 2044                                                                                                             
    Debt        3.750%     Rule 457(r)   $915,705,000      99.237%      $908,718,170.85      0.00014760       $134,126.80           
                Notes                                                                                                               
               due 2054                                                                                                             
   Other      Guarantees    Other (3)        N/A             N/A              N/A                N/A              N/A               
                  of                                                                                                                
               Merck &                                                                                                              
              Co., Inc.                                                                                                             
    Fees          -             -             -               -                -                  -                              -  
 Previously                                                                                                                         
    Paid                                                                                                                            
                                                                               Carry Forward Securities                             
   Carry          -             -             -               -                                   -                                 
  Forward                                                                                                                           
 Securities                                                                                                                         
                                       Total                                              $3,644,542,528.20                 $537,934
                                     Offering                                                                                       
                                      Amounts                                                                                       
                                    Total Fees                                                                                   -  
                                    Previously                                                                                      
                                       Paid                                                                                         
                                     Total Fee                                                                                   -  
                                      Offsets                                                                                       
                                    Net Fee Due                                                                             $537,934
                                                  
of      Carry     Carry      Carry     Filing Fee 
tion   Forward   Forward    Forward    Previously 
)       Form      File      Initial     Paid In   
        Type     Number    effective   Connection 
                             date         with    
                                         Unsold   
                                       Securities 
                                           to     
                                       be Carried 
                                        Forward   
                                                  
.24                                               
                                                  
                                                  
                                     
                                     
                                     
                                     
                                     
                                     
                                     
                                     
                                     
                                     
                                     
                                     
                                     
                                                  
                                                  
                                                  
                                                  
          -         -          -           -      
                                                  
                                                  
.48                                               
                                                  
                                                  
                                                  
                                                  
                                                  
                                                  
                                                  
.48                                               


(1)
The U.S. dollar equivalent of the amount registered has been calculated using 
the exchange rate for May 10, 2024 of U.S.$ 1.0773 = EUR 1, as published by 
the Board of Governors of the Federal Reserve System in the H.10 Weekly Update 
for the week ended May 10, 2024.
(2)
The prospectus supplement to which this Exhibit is attached is a final 
prospectus for the related offerings. The maximum aggregate offering price of 
those offerings is $3,644,542,528.20.
(3)
Merck & Co., Inc. will fully and unconditionally guarantee the notes issued by 
MSD Netherlands Capital B.V. Pursuant to Rule 457(n) under the Securities Act 
of 1933, as amended, no additional registration fee is required with respect 
to such guarantee.

{graphic omitted}
{graphic omitted}