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REVENUE - Reconciliation of Gross Product Sales to Net Product Sales (Details) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2025
Mar. 31, 2024
Gross to Net Adjustments [Line Items]    
Total Revenues $ 11,201 $ 11,865
Total GTN adjustments (8,988) (7,736)
Prior period gross to net adjustment impacted by new accounting pronouncement 289 80
United States    
Gross to Net Adjustments [Line Items]    
Total Revenues 7,873 8,476
Total GTN adjustments (8,200) (6,900)
Gross product sales    
Gross to Net Adjustments [Line Items]    
Total Revenues 19,874 19,295
Net product sales    
Gross to Net Adjustments [Line Items]    
Total Revenues 10,886 11,559
Charge-backs and cash discounts    
Gross to Net Adjustments [Line Items]    
Total GTN adjustments (2,958) (2,556)
Medicaid and Medicare rebates    
Gross to Net Adjustments [Line Items]    
Total GTN adjustments (3,840) (3,084)
Other rebates, returns, discounts and adjustments    
Gross to Net Adjustments [Line Items]    
Total GTN adjustments $ (2,190) $ (2,096)