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REVENUE - Reconciliation of Gross Product Sales to Net Product Sales (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Gross to Net Adjustments [Line Items]      
Total Revenues $ 48,300 $ 45,006 $ 46,159
Gross to net adjustments (36,893) (29,901) (24,962)
Prior period gross to net adjustment impacted by new accounting pronouncement (159) (134) (229)
Gross product sales      
Gross to Net Adjustments [Line Items]      
Total Revenues 83,671 73,679 69,633
Net product sales      
Gross to Net Adjustments [Line Items]      
Total Revenues 46,778 43,778 44,671
Charge-backs and cash discounts      
Gross to Net Adjustments [Line Items]      
Gross to net adjustments (11,510) (9,144) (7,469)
Medicaid and Medicare rebates      
Gross to Net Adjustments [Line Items]      
Gross to net adjustments (16,551) (13,411) (11,362)
Other rebates, returns, discounts and adjustments      
Gross to Net Adjustments [Line Items]      
Gross to net adjustments $ (8,832) $ (7,346) $ (6,131)