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Segments of Business and Geographic Areas - Sales by Segment of Business (Details)
$ in Millions
3 Months Ended 12 Months Ended
Dec. 31, 2023
USD ($)
Oct. 01, 2023
USD ($)
Jul. 02, 2023
USD ($)
Apr. 02, 2023
USD ($)
Jan. 01, 2023
USD ($)
Oct. 02, 2022
USD ($)
Jul. 03, 2022
USD ($)
Apr. 03, 2022
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Dec. 31, 2023
USD ($)
segment
Jan. 01, 2023
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Jan. 02, 2022
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Segment
Segment Reporting Information [Line Items]                      
Number of segments                 2   3
Sales to Customers $ 21,395 $ 21,351 $ 21,519 $ 20,894 $ 19,939 $ 19,996 $ 20,215 $ 19,840 $ 85,159 $ 79,990 $ 78,740
% Change                 6.50% 1.60%  
Innovative Medicine                      
Segment Reporting Information [Line Items]                      
Sales to Customers 13,722 13,893 13,731 13,413 13,163 13,214 13,317 12,869 $ 54,759 $ 52,563 51,680
% Change                 4.20% 1.70%  
Innovative Medicine | Immunology                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 18,052 $ 16,935 16,750
% Change                 6.60% 1.10%  
Innovative Medicine | Infectious Diseases                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 4,418 $ 5,449 5,825
% Change                 (18.90%) (6.50%)  
Innovative Medicine | Neuroscience                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 7,140 $ 6,893 6,988
% Change                 3.60% (1.40%)  
Innovative Medicine | Oncology                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 17,661 $ 15,983 14,548
% Change                 10.50% 9.90%  
Innovative Medicine | Pulmonary Hypertension                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 3,815 $ 3,417 3,450
% Change                 11.60% (1.00%)  
Innovative Medicine | Cardiovascular/Metabolism/Other                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 3,671 $ 3,887 4,119
% Change                 (5.50%) (5.60%)  
MedTech                      
Segment Reporting Information [Line Items]                      
Sales to Customers $ 7,673 $ 7,458 $ 7,788 $ 7,481 $ 6,776 $ 6,782 $ 6,898 $ 6,971 $ 30,400 $ 27,427 27,060
% Change                 10.80% 1.40%  
MedTech | Interventional Solutions                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 6,350 $ 4,300 3,971
% Change                 47.70% 8.30%  
MedTech | Orthopaedics                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 8,942 $ 8,587 8,588
% Change                 4.10% 0.00%  
MedTech | Surgery                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 10,037 $ 9,690 9,812
% Change                 3.60% (1.20%)  
MedTech | Vision                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 5,072 $ 4,849 4,688
% Change                 4.60% 3.40%  
Remicade | Innovative Medicine | Immunology                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 1,839 $ 2,343 3,190
% Change                 (21.50%) (26.60%)  
Simponi/Simponi Aria | Innovative Medicine | Immunology                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 2,197 $ 2,184 2,276
% Change                 0.60% (4.00%)  
Stelara | Innovative Medicine | Immunology                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 10,858 $ 9,723 9,134
% Change                 11.70% 6.50%  
Tremfya | Innovative Medicine | Immunology                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 3,147 $ 2,668 2,127
% Change                 17.90% 25.40%  
Other Immunology | Innovative Medicine | Immunology                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 11 $ 17 24
% Change                 (33.80%) (28.20%)  
COVID-19 | Innovative Medicine | Infectious Diseases                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 1,117 $ 2,179 2,385
% Change                 (48.80%) (8.60%)  
EDURANT/rilpivirine | Innovative Medicine | Infectious Diseases                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 1,150 $ 1,008 994
% Change                 14.10% 1.50%  
PREZISTA/PREZCOBIX/REZOLSTA/SYMTUZA | Innovative Medicine | Infectious Diseases                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 1,854 $ 1,943 2,083
% Change                 (4.60%) (6.70%)  
Other Infectious Diseases | Innovative Medicine | Infectious Diseases                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 297 $ 318 363
% Change                 (6.70%) (12.30%)  
CONCERTA/Methylphenidate | Innovative Medicine | Neuroscience                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 783 $ 644 667
% Change                 21.60% (3.50%)  
INVEGA SUSTENNA/XEPLION/TRINZA/TREVICTA | Innovative Medicine | Neuroscience                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 4,115 $ 4,140 4,022
% Change                 (0.60%) 3.00%  
RISPERDAL CONSTA | Innovative Medicine | Neuroscience                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 689 $ 374 224
% Change                 84.10% 67.00%  
OTHER NEUROSCIENCE | Innovative Medicine | Neuroscience                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 1,553 $ 1,734 2,074
% Change                 (10.40%) (16.40%)  
CARVYKTI | Innovative Medicine | Oncology                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 500 $ 133 0
DARZALEX | Innovative Medicine | Oncology                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 9,744 $ 7,977 6,023
% Change                 22.20% 32.40%  
ERLEADA | Innovative Medicine | Oncology                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 2,387 $ 1,881 1,291
% Change                 26.90% 45.70%  
IMBRUVICA | Innovative Medicine | Oncology                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 3,264 $ 3,784 4,369
% Change                 (13.70%) (13.40%)  
ZYTIGA/abiraterone acetate | Innovative Medicine | Oncology                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 887 $ 1,770 2,297
% Change                 (49.90%) (22.90%)  
Other Oncology | Innovative Medicine | Oncology                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 879 $ 438 568
% Change                   (22.90%)  
OPSUMIT | Innovative Medicine | Pulmonary Hypertension                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 1,973 $ 1,783 1,819
% Change                 10.60% (2.00%)  
UPTRAVI | Innovative Medicine | Pulmonary Hypertension                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 1,582 $ 1,322 1,237
% Change                 19.70% 6.90%  
Other | Innovative Medicine | Pulmonary Hypertension                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 260 $ 313 395
% Change                 (16.70%) (20.80%)  
Other | Innovative Medicine | Cardiovascular/Metabolism/Other                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 1,306 $ 1,414 1,682
% Change                 (7.60%) (15.90%)  
XARELTO | Innovative Medicine | Cardiovascular/Metabolism/Other                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 2,365 $ 2,473 2,438
% Change                 (4.40%) 1.40%  
ELECTROPHYSIOLOGY | MedTech | Interventional Solutions                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 4,688 $ 3,937 3,623
% Change                 19.10% 8.70%  
Abiomed | MedTech | Interventional Solutions                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 1,306 $ 31 0
Other Interventional Solutions | MedTech | Interventional Solutions                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 356 $ 332 348
% Change                 7.10% (4.60%)  
HIPS | MedTech | Orthopaedics                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 1,560 $ 1,514 1,480
% Change                 3.00% 2.30%  
KNEES | MedTech | Orthopaedics                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 1,456 $ 1,359 1,325
% Change                 7.10% 2.60%  
TRAUMA | MedTech | Orthopaedics                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 2,979 $ 2,871 2,885
% Change                 3.80% (0.50%)  
SPINE,SPORTS & OTHER | MedTech | Orthopaedics                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 2,947 $ 2,843 2,898
% Change                 3.70% (1.90%)  
ADVANCED | MedTech | Surgery                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 4,671 $ 4,569 4,622
% Change                 2.20% (1.10%)  
GENERAL | MedTech | Surgery                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 5,366 $ 5,121 5,190
% Change                 4.80% (1.30%)  
CONTACT LENSES/OTHER | MedTech | Vision                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 3,702 $ 3,543 3,440
% Change                 4.50% 3.00%  
SURGICAL | MedTech | Vision                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 1,370 $ 1,306 1,248
% Change                 4.90% 4.60%  
United States                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 46,444 $ 41,981 40,640
% Change                 10.60% 3.30%  
United States | Innovative Medicine                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 31,169 $ 28,604 27,954
% Change                 9.00% 2.30%  
United States | Innovative Medicine | Immunology                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 11,539 $ 11,036 10,843
% Change                 4.60% 1.80%  
United States | Innovative Medicine | Infectious Diseases                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 1,500 $ 1,680 2,249
% Change                 (10.70%) (25.30%)  
United States | Innovative Medicine | Neuroscience                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 4,065 $ 3,570 3,347
% Change                 13.90% 6.70%  
United States | Innovative Medicine | Oncology                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 8,462 $ 6,930 5,958
% Change                 22.10% 16.30%  
United States | Innovative Medicine | Pulmonary Hypertension                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 2,697 $ 2,346 2,365
% Change                 15.00% (0.80%)  
United States | Innovative Medicine | Cardiovascular/Metabolism/Other                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 2,906 $ 3,042 3,192
% Change                 (4.50%) (4.70%)  
United States | MedTech                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 15,275 $ 13,377 12,686
% Change                 14.20% 5.40%  
United States | MedTech | Interventional Solutions                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 3,633 $ 2,169 1,836
% Change                 67.50% 18.20%  
United States | MedTech | Orthopaedics                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 5,525 $ 5,321 5,126
% Change                 3.80% 3.80%  
United States | MedTech | Surgery                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 4,031 $ 3,897 3,867
% Change                 3.40% 0.80%  
United States | MedTech | Vision                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 2,086 $ 1,990 1,857
% Change                 4.80% 7.20%  
United States | Remicade | Innovative Medicine | Immunology                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 1,143 $ 1,417 2,019
% Change                 (19.30%) (29.80%)  
United States | Simponi/Simponi Aria | Innovative Medicine | Immunology                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 1,124 $ 1,166 1,127
% Change                 (3.60%) 3.50%  
United States | Stelara | Innovative Medicine | Immunology                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 6,966 $ 6,388 5,938
% Change                 9.00% 7.60%  
United States | Tremfya | Innovative Medicine | Immunology                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 2,147 $ 1,844 1,503
% Change                 16.50% 22.70%  
United States | Other Immunology | Innovative Medicine | Immunology                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 11 $ 17 21
% Change                 (33.80%) (18.40%)  
United States | COVID-19 | Innovative Medicine | Infectious Diseases                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 0 $ 120 634
% Change                   (81.10%)  
United States | EDURANT/rilpivirine | Innovative Medicine | Infectious Diseases                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 35 $ 36 41
% Change                 (3.70%) (10.80%)  
United States | PREZISTA/PREZCOBIX/REZOLSTA/SYMTUZA | Innovative Medicine | Infectious Diseases                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 1,446 $ 1,494 1,508
% Change                 (3.20%) (1.00%)  
United States | Other Infectious Diseases | Innovative Medicine | Infectious Diseases                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 19 $ 30 66
% Change                 (34.50%) (55.50%)  
United States | CONCERTA/Methylphenidate | Innovative Medicine | Neuroscience                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 230 $ 151 172
% Change                 52.50% (12.50%)  
United States | INVEGA SUSTENNA/XEPLION/TRINZA/TREVICTA | Innovative Medicine | Neuroscience                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 2,897 $ 2,714 2,550
% Change                 6.70% 6.50%  
United States | RISPERDAL CONSTA | Innovative Medicine | Neuroscience                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 589 $ 328 198
% Change                 79.70% 65.70%  
United States | OTHER NEUROSCIENCE | Innovative Medicine | Neuroscience                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 349 $ 376 427
% Change                 (7.30%) (11.90%)  
United States | CARVYKTI | Innovative Medicine | Oncology                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 469 $ 133 0
United States | DARZALEX | Innovative Medicine | Oncology                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 5,277 $ 4,210 3,169
% Change                 25.40% 32.80%  
United States | ERLEADA | Innovative Medicine | Oncology                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 1,065 $ 968 813
% Change                 10.00% 19.20%  
United States | IMBRUVICA | Innovative Medicine | Oncology                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 1,051 $ 1,390 1,747
% Change                 (24.40%) (20.40%)  
United States | ZYTIGA/abiraterone acetate | Innovative Medicine | Oncology                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 50 $ 74 119
% Change                 (32.10%) (37.80%)  
United States | Other Oncology | Innovative Medicine | Oncology                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 549 $ 156 110
% Change                   41.80%  
United States | OPSUMIT | Innovative Medicine | Pulmonary Hypertension                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 1,292 $ 1,132 1,147
% Change                 14.10% (1.30%)  
United States | UPTRAVI | Innovative Medicine | Pulmonary Hypertension                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 1,326 $ 1,104 1,056
% Change                 20.10% 4.50%  
United States | Other | Innovative Medicine | Pulmonary Hypertension                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 79 $ 110 163
% Change                 (28.60%) (32.30%)  
United States | Other | Innovative Medicine | Cardiovascular/Metabolism/Other                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 541 $ 569 754
% Change                 (5.00%) (24.50%)  
United States | XARELTO | Innovative Medicine | Cardiovascular/Metabolism/Other                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 2,365 $ 2,473 2,438
% Change                 (4.40%) 1.40%  
United States | ELECTROPHYSIOLOGY | MedTech | Interventional Solutions                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 2,458 $ 2,036 1,730
% Change                 20.70% 17.70%  
United States | Abiomed | MedTech | Interventional Solutions                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 1,066 $ 31 0
United States | Other Interventional Solutions | MedTech | Interventional Solutions                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 109 $ 102 106
% Change                 6.70% (3.80%)  
United States | HIPS | MedTech | Orthopaedics                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 996 $ 943 878
% Change                 5.60% 7.30%  
United States | KNEES | MedTech | Orthopaedics                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 896 $ 851 787
% Change                 5.30% 8.20%  
United States | TRAUMA | MedTech | Orthopaedics                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 1,949 $ 1,882 1,819
% Change                 3.60% 3.50%  
United States | SPINE,SPORTS & OTHER | MedTech | Orthopaedics                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 1,684 $ 1,645 1,642
% Change                 2.40% 0.20%  
United States | ADVANCED | MedTech | Surgery                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 1,833 $ 1,784 1,761
% Change                 2.80% 1.30%  
United States | GENERAL | MedTech | Surgery                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 2,198 $ 2,113 2,105
% Change                 4.00% 0.40%  
United States | CONTACT LENSES/OTHER | MedTech | Vision                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 1,626 $ 1,522 1,398
% Change                 6.80% 8.90%  
United States | SURGICAL | MedTech | Vision                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 460 $ 468 459
% Change                 (1.80%) 2.00%  
Non-US                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 38,715 $ 38,009 38,100
% Change                 1.90% (0.20%)  
Non-US | Innovative Medicine                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 23,590 $ 23,959 23,726
% Change                 (1.50%) 1.00%  
Non-US | Innovative Medicine | Immunology                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 6,513 $ 5,899 5,907
% Change                 10.40% (0.10%)  
Non-US | Innovative Medicine | Infectious Diseases                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 2,918 $ 3,769 3,576
% Change                 (22.60%) 5.40%  
Non-US | Innovative Medicine | Neuroscience                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 3,076 $ 3,323 3,641
% Change                 (7.50%) (8.70%)  
Non-US | Innovative Medicine | Oncology                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 9,199 $ 9,052 8,590
% Change                 1.60% 5.40%  
Non-US | Innovative Medicine | Pulmonary Hypertension                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 1,117 $ 1,071 1,085
% Change                 4.30% (1.30%)  
Non-US | Innovative Medicine | Cardiovascular/Metabolism/Other                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 765 $ 845 927
% Change                 (9.40%) (8.90%)  
Non-US | MedTech                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 15,125 $ 14,050 14,374
% Change                 7.70% (2.30%)  
Non-US | MedTech | Interventional Solutions                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 2,717 $ 2,131 2,135
% Change                 27.50% (0.20%)  
Non-US | MedTech | Orthopaedics                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 3,417 $ 3,267 3,462
% Change                 4.60% (5.60%)  
Non-US | MedTech | Surgery                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 6,006 $ 5,793 5,945
% Change                 3.70% (2.60%)  
Non-US | MedTech | Vision                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 2,986 $ 2,859 2,831
% Change                 4.50% 1.00%  
Non-US | Remicade | Innovative Medicine | Immunology                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 549 $ 722 935
% Change                 (23.90%) (22.80%)  
Non-US | Simponi/Simponi Aria | Innovative Medicine | Immunology                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 1,073 $ 1,017 1,148
% Change                 5.40% (11.40%)  
Non-US | Stelara | Innovative Medicine | Immunology                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 3,892 $ 3,335 3,196
% Change                 16.70% 4.40%  
Non-US | Tremfya | Innovative Medicine | Immunology                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 999 $ 824 624
% Change                 21.20% 32.00%  
Non-US | Other Immunology | Innovative Medicine | Immunology                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 0 $ 0 3
% Change                 0.00%    
Non-US | COVID-19 | Innovative Medicine | Infectious Diseases                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 1,117 $ 2,059 1,751
% Change                 (45.80%) 17.60%  
Non-US | EDURANT/rilpivirine | Innovative Medicine | Infectious Diseases                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 1,115 $ 972 953
% Change                 14.80% 2.00%  
Non-US | PREZISTA/PREZCOBIX/REZOLSTA/SYMTUZA | Innovative Medicine | Infectious Diseases                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 408 $ 449 575
% Change                 (9.20%) (21.90%)  
Non-US | Other Infectious Diseases | Innovative Medicine | Infectious Diseases                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 278 $ 289 297
% Change                 (3.80%) (2.60%)  
Non-US | CONCERTA/Methylphenidate | Innovative Medicine | Neuroscience                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 554 $ 493 495
% Change                 12.20% (0.40%)  
Non-US | INVEGA SUSTENNA/XEPLION/TRINZA/TREVICTA | Innovative Medicine | Neuroscience                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 1,218 $ 1,426 1,472
% Change                 (14.60%) (3.10%)  
Non-US | RISPERDAL CONSTA | Innovative Medicine | Neuroscience                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 100 $ 46 26
% Change                   76.90%  
Non-US | OTHER NEUROSCIENCE | Innovative Medicine | Neuroscience                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 1,204 $ 1,358 1,647
% Change                 (11.30%) (17.50%)  
Non-US | CARVYKTI | Innovative Medicine | Oncology                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 30 $ 0 0
Non-US | DARZALEX | Innovative Medicine | Oncology                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 4,467 $ 3,767 2,854
% Change                 18.60% 32.00%  
Non-US | ERLEADA | Innovative Medicine | Oncology                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 1,322 $ 913 478
% Change                 44.80%    
Non-US | IMBRUVICA | Innovative Medicine | Oncology                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 2,214 $ 2,394 2,622
% Change                 (7.50%) (8.70%)  
Non-US | ZYTIGA/abiraterone acetate | Innovative Medicine | Oncology                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 837 $ 1,696 2,178
% Change                 (50.70%) (22.10%)  
Non-US | Other Oncology | Innovative Medicine | Oncology                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 330 $ 283 458
% Change                 16.90% (38.20%)  
Non-US | OPSUMIT | Innovative Medicine | Pulmonary Hypertension                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 681 $ 651 672
% Change                 4.60% (3.20%)  
Non-US | UPTRAVI | Innovative Medicine | Pulmonary Hypertension                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 255 $ 218 181
% Change                 17.30% 20.40%  
Non-US | Other | Innovative Medicine | Pulmonary Hypertension                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 182 $ 202 232
% Change                 (10.30%) (12.80%)  
Non-US | Other | Innovative Medicine | Cardiovascular/Metabolism/Other                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 765 $ 845 927
% Change                 (9.40%) (8.80%)  
Non-US | XARELTO | Innovative Medicine | Cardiovascular/Metabolism/Other                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 0 $ 0 0
% Change                 0.00% 0.00%  
Non-US | ELECTROPHYSIOLOGY | MedTech | Interventional Solutions                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 2,230 $ 1,901 1,893
% Change                 17.30% 0.40%  
Non-US | Abiomed | MedTech | Interventional Solutions                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 240 $ 0 0
Non-US | Other Interventional Solutions | MedTech | Interventional Solutions                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 247 $ 230 242
% Change                 7.30% (5.00%)  
Non-US | HIPS | MedTech | Orthopaedics                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 564 $ 571 602
% Change                 (1.20%) (5.10%)  
Non-US | KNEES | MedTech | Orthopaedics                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 559 $ 508 538
% Change                 10.20% (5.70%)  
Non-US | TRAUMA | MedTech | Orthopaedics                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 1,030 $ 989 1,066
% Change                 4.10% (7.20%)  
Non-US | SPINE,SPORTS & OTHER | MedTech | Orthopaedics                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 1,263 $ 1,198 1,256
% Change                 5.40% (4.60%)  
Non-US | ADVANCED | MedTech | Surgery                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 2,837 $ 2,785 2,861
% Change                 1.90% (2.60%)  
Non-US | GENERAL | MedTech | Surgery                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 3,168 $ 3,008 3,085
% Change                 5.30% (2.50%)  
Non-US | CONTACT LENSES/OTHER | MedTech | Vision                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 2,076 $ 2,022 2,043
% Change                 2.70% (1.00%)  
Non-US | SURGICAL | MedTech | Vision                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 910 $ 837 788
% Change                 8.60% 6.20%  
UNITED STATES Exports | Remicade | Innovative Medicine | Immunology                      
Segment Reporting Information [Line Items]                      
Sales to Customers                 $ 147 $ 204 $ 236
% Change                 (28.00%) (13.60%)