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Basis of Presentation and Significant Accounting Policies (Details)
$ in Millions
3 Months Ended 9 Months Ended 12 Months Ended
Jan. 01, 2018
USD ($)
Accounting_standard
Sep. 30, 2018
USD ($)
Apr. 01, 2018
USD ($)
Oct. 01, 2017
USD ($)
Sep. 30, 2018
USD ($)
Operating_Segment
Oct. 01, 2017
USD ($)
Dec. 31, 2017
USD ($)
Organization, Consolidation and Presentation of Financial Statements [Abstract]              
Number of business segments | Operating_Segment         2    
Number of accounting standards adopted | Accounting_standard 11            
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Net unrealized gains during the reporting period on equity securities still held at the reporting date [1]   $ 40     $ 370    
Other income [2]   414   $ (79) 1,143 $ (65)  
Net increase in cash, cash equivalents, restricted cash and restricted cash equivalents [3]         2,227 $ 193  
Accrued rebates and other accruals   5,548     5,548   $ 4,923
Financial Assets and Liabilities [Member]              
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Cumulative effect adjustment to retained earnings, pre-tax $ 462            
Cumulative effect adjustment to retained earnings, after-tax 419            
Net unrealized gains during the reporting period on equity securities still held at the reporting date   8     344    
Accounting for Hedging Activities [Member]              
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Other income   $ 23     68    
Restricted Cash in the Statement of Cash Flows [Member]              
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Net increase in cash, cash equivalents, restricted cash and restricted cash equivalents         10    
Difference between Revenue Guidance in Effect before and after Topic 606 [Member] | Revenues [Member]              
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Cumulative effect adjustment to retained earnings, pre-tax 584   $ 584        
Cumulative effect adjustment to retained earnings, after-tax 450            
Reclassification From Financing Activities To Operating Activities [Member] | Classification of Certain Transactions in the Statement of Cash Flows [Member]              
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Debt prepayment and extinguishment costs         (7)    
Reclassification From Operating Activities To Financing Activities [Member] | Classification of Certain Transactions in the Statement of Cash Flows [Member]              
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Accreted interest         $ 69    
Collaboration Arrangements [Member] | Difference between Revenue Guidance in Effect before and after Topic 606 [Member] | Revenues [Member]              
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Cumulative effect adjustment to retained earnings, pre-tax 500            
Collaboration Arrangements, Income From Upfront And Pre-Approval Milestone Payments [Member] | Difference between Revenue Guidance in Effect before and after Topic 606 [Member] | Revenues [Member]              
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Cumulative effect adjustment to retained earnings, pre-tax 394            
Collaboration Arrangements, Product Manufacturing [Member] | Difference between Revenue Guidance in Effect before and after Topic 606 [Member] | Revenues [Member]              
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Cumulative effect adjustment to retained earnings, pre-tax 82            
Product Rights And Out-Licensing Arrangements [Member] | Difference between Revenue Guidance in Effect before and after Topic 606 [Member] | Revenues [Member]              
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Cumulative effect adjustment to retained earnings, pre-tax 394            
Product Shipments [Member] | Difference between Revenue Guidance in Effect before and after Topic 606 [Member] | Revenues [Member]              
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Cumulative effect adjustment to retained earnings, pre-tax 84            
Sales Revenue, Product Line [Member] | Product Concentration Risk [Member] | Top Nine Products [Member]              
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Concentration risk, amount             $ 1,000
Concentration risk, percentage             46.00%
Retained Earnings [Member] | Income Tax Accounting [Member]              
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Cumulative effect adjustment to retained earnings, after-tax (189)            
Retained Earnings [Member] | Reclassification of Certain Tax Effects from AOCI [Member]              
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Cumulative effect adjustment to retained earnings, after-tax $ 495            
[1] The third quarter of 2018 includes $8 million of unrealized net gains in Other (income)/deductions––net reflecting the adoption of a new accounting standard in the first quarter of 2018 and $32 million of unrealized gains on other equity securities. The first nine months of 2018 includes $344 million of unrealized net gains in Other (income)/deductions––net reflecting the adoption of a new accounting standard in the first quarter of 2018 and $26 million of unrealized gains on other equity securities. For additional information, see Note 1B and Note 4.
[2] Amounts may not add due to rounding.
[3] Amounts may not add due to rounding.