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Goodwill and Intangible Assets - Definite-Lived Intangible Assets (Details) - USD ($)
12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Definite-lived intangible assets      
Amortization of intangible assets $ 1,553,000,000 $ 1,294,000,000 $ 1,076,000,000
Definite-lived intangible assets impairment charges 0 $ 0 $ 354,000,000
Anticipated annual amortization expense      
2020 1,800,000,000    
2021 2,000,000,000.0    
2022 2,300,000,000    
2023 2,400,000,000    
2024 $ 2,500,000,000    
Minimum      
Definite-lived intangible assets      
Amortization period 2 years    
Maximum      
Definite-lived intangible assets      
Amortization period 16 years    
Weighted Average | Developed product rights      
Definite-lived intangible assets      
Amortization period 11 years    
Weighted Average | License agreements      
Definite-lived intangible assets      
Amortization period 11 years