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Goodwill and Intangible Assets - Definite-Lived Intangible Assets (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Definite-lived intangible assets      
Reclass to developed product rights $ 1,000    
Reclassification from indefinite-lived intangible assets (1,000)    
Amortization of intangible assets 7,718 $ 5,805 $ 1,553
Anticipated annual amortization expense      
2022 7,200    
2023 7,500    
2024 8,000    
2025 8,400    
2026 $ 7,900    
Minimum      
Definite-lived intangible assets      
Amortization period 1 year    
Maximum      
Definite-lived intangible assets      
Amortization period 16 years    
Weighted Average | Developed product rights      
Definite-lived intangible assets      
Amortization period 12 years    
Weighted Average | License agreements      
Definite-lived intangible assets      
Amortization period 11 years