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REVENUE - Reconciliation of Gross Product Sales to Net Product Sales (Details) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2025
Sep. 30, 2024
Sep. 30, 2025
Sep. 30, 2024
Gross to Net Adjustments [Line Items]        
Total Revenues $ 12,222 $ 11,892 $ 35,692 $ 35,958
Total GTN adjustments (10,644) (9,740) (29,903) (26,331)
Prior period gross to net adjustment impacted by new accounting pronouncement 87 42 418 103
United States        
Gross to Net Adjustments [Line Items]        
Total Revenues 8,329 8,232 24,721 25,509
Total GTN adjustments (9,800) (8,900) (27,500) (23,900)
Gross product sales        
Gross to Net Adjustments [Line Items]        
Total Revenues 22,494 21,223 64,548 61,298
Net product sales        
Gross to Net Adjustments [Line Items]        
Total Revenues 11,850 11,483 34,645 34,967
Charge-backs and cash discounts        
Gross to Net Adjustments [Line Items]        
Total GTN adjustments (3,475) (2,967) (9,840) (8,366)
Medicaid and Medicare rebates        
Gross to Net Adjustments [Line Items]        
Total GTN adjustments (4,887) (4,577) (13,244) (11,525)
Other rebates, returns, discounts and adjustments        
Gross to Net Adjustments [Line Items]        
Total GTN adjustments $ (2,281) $ (2,196) $ (6,819) $ (6,440)