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Goodwill and Intangible Assets (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Goodwill and Intangible Assets [Line Items]    
Goodwill $ 23,108 $ 23,679
Increase (decrease ) goodwill, foreign currency translation (533) 304
Increase in goodwill   576
Amount of reductions of goodwill relating to impairments 0 0
Gross amount of amortizable intangible assets 27,100 27,700
Increase in amortizable intangible assets   305
Accumulated amortization of intangible assets 21,300 19,700
Increase (decrease) in intangible assets due to foreign currency translation adjustments $ (78) 44
Impairment, Intangible Asset, Finite-Lived, Statement of Income or Comprehensive Income [Extensible Enumeration] Cost of products sold, excluding amortization of intangible assets  
Estimated annual amortization expense, intangible assets, year one $ 1,700  
Estimated annual amortization expense, intangible assets, year two 1,500  
Estimated annual amortization expense, intangible assets, year three 1,200  
Estimated annual amortization expense, intangible assets, year four 668  
Estimated annual amortization expense, intangible assets, year five 605  
Indefinite-lived intangible assets related to in-process R&D acquired in a business combination 784 787
Increase in in-process research and development assets $ 35 $ 80
Impairment, Intangible Asset, Indefinite-Lived (Excluding Goodwill), Statement of Income or Comprehensive Income [Extensible Enumeration]   Research and development
Minimum    
Goodwill and Intangible Assets [Line Items]    
Amortization period of intangible assets 2 years  
Maximum    
Goodwill and Intangible Assets [Line Items]    
Amortization period of intangible assets 20 years  
Established Pharmaceuticals    
Goodwill and Intangible Assets [Line Items]    
Goodwill $ 2,600  
Nutritionals    
Goodwill and Intangible Assets [Line Items]    
Goodwill 285  
Diagnostics    
Goodwill and Intangible Assets [Line Items]    
Goodwill 3,500  
Medical Devices    
Goodwill and Intangible Assets [Line Items]    
Goodwill 16,800  
Impairment of intangible assets, finite-lived 207  
Medical Devices | Operating Segments    
Goodwill and Intangible Assets [Line Items]    
Impairment of indefinite-lived intangible assets in-process research and development project $ 39 $ 100