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Basis of Presentation and Significant Accounting Policies - Additional Information (Details)
$ / shares in Units, $ in Millions
12 Months Ended
Dec. 22, 2016
USD ($)
Sep. 28, 2016
USD ($)
$ / shares
Jun. 24, 2016
USD ($)
$ / shares
Apr. 08, 2016
USD ($)
Sep. 03, 2015
USD ($)
$ / shares
Dec. 31, 2017
USD ($)
Operating_Segment
Dec. 31, 2016
USD ($)
Dec. 31, 2015
USD ($)
Feb. 03, 2017
USD ($)
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                  
Number of operating segments | Operating_Segment           2      
Cash payments for acquisition, net of cash acquired [1]           $ 1,000 $ 18,368 $ 16,466  
Payments for merger termination costs       $ 150     150    
Accruals for Medicare rebates, Medicaid and related state program rebates, performance-based contract rebates, chargebacks, sales allowances, cash discounts and sales returns           4,923 4,282    
Advertising expense           3,100 3,200 3,100  
Research and development expenses [2],[3]           7,657 7,872 7,690  
Nonsoftware License Arrangement [Member]                  
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                  
Research and development expenses           $ 169 $ 82 $ 429  
AstraZeneca [Member]                  
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                  
Consideration transferred $ 1,045                
Payments to acquire businesses, cash portion $ 555                
Medivation [Member]                  
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                  
Business acquisition, per share in cash (in dollars per share) | $ / shares   $ 81.5              
Payments to acquire businesses, cash portion   $ 14,300              
Cash payments for acquisition, net of cash acquired   $ 13,900              
Anacor [Member]                  
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                  
Business acquisition, per share in cash (in dollars per share) | $ / shares     $ 99.25            
Payments to acquire businesses, cash portion     $ 4,900            
Cash payments for acquisition, net of cash acquired     4,500            
Debt assumed     $ 698            
Hospira [Member]                  
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                  
Business acquisition, per share in cash (in dollars per share) | $ / shares         $ 90        
Payments to acquire businesses, cash portion         $ 16,100        
Cash payments for acquisition, net of cash acquired         $ 15,700        
ICU Medical [Member] | Disposed of by Sale, Not Discontinued Operations [Member] | HIS [Member]                  
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                  
Cash received for disposition                 $ 900
[1] Amounts may not add due to rounding.
[2] Amounts may not add due to rounding.
[3] Exclusive of amortization of intangible assets, except as disclosed in Note 1K. Basis of Presentation and Significant Accounting Policies: Amortization of Intangible Assets, Depreciation and Certain Long-Lived Assets.