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Goodwill and Other Intangibles - Other Intangibles (Details) - USD ($)
$ in Millions
Dec. 31, 2022
Dec. 31, 2021
Intangible Assets Excluding Goodwill [Line Items]    
Gross Carrying Amount $ 41,746 $ 42,438
Accumulated Amortization 21,477 19,505
Net 20,269 22,933
IPR&D    
Intangible Assets Excluding Goodwill [Line Items]    
Gross Carrying Amount 7,661 9,281
Net 7,661 9,281
Products and product rights    
Intangible Assets Excluding Goodwill [Line Items]    
Gross Carrying Amount 23,555 23,671
Accumulated Amortization 16,745 15,776
Net 6,810 7,895
Trade names    
Intangible Assets Excluding Goodwill [Line Items]    
Gross Carrying Amount 2,879 2,882
Accumulated Amortization 635 493
Net 2,244 2,389
License    
Intangible Assets Excluding Goodwill [Line Items]    
Gross Carrying Amount 7,651 6,604
Accumulated Amortization 4,097 3,236
Net $ 3,554 $ 3,368