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Identifiable Intangible Assets and Goodwill - Finite-lived and Indefinite-lived Intangible Assets - Footnotes (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 14, 2023
Dec. 31, 2023
Finite-Lived Intangible Assets [Line Items]    
Intangible asset impairments   $ 3,008
Amortization expense for finite-lived intangible assets   4,700
Seagen [Member]    
Finite-Lived Intangible Assets [Line Items]    
Indefinite-lived intangible assets, period increase (decrease) $ 28,800  
Developed Technology Rights [Member]    
Finite-Lived Intangible Assets [Line Items]    
Intangible asset impairments [1]   1,184
Developed Technology Rights [Member] | Seagen [Member]    
Finite-Lived Intangible Assets [Line Items]    
Finite-lived intangible assets period increase (decrease) 7,500  
Licensing Agreements and Other [Member] | Seagen [Member]    
Finite-Lived Intangible Assets [Line Items]    
Finite-lived intangible assets period increase (decrease) 450  
IPR&D [Member]    
Finite-Lived Intangible Assets [Line Items]    
Intangible asset impairments [1]   1,704
IPR&D [Member] | Seagen [Member]    
Finite-Lived Intangible Assets [Line Items]    
Indefinite-lived intangible assets, period increase (decrease) $ 20,800  
Zavzpret [Member] | Developed Technology Rights [Member]    
Finite-Lived Intangible Assets [Line Items]    
Finite-lived intangible assets period increase (decrease)   450
Finite-lived intangible assets, capitalized milestone   495
Zavzpret [Member] | IPR&D [Member]    
Finite-Lived Intangible Assets [Line Items]    
Indefinite-lived intangible assets, period increase (decrease)   450
Etrasimod (Velsipity) [Member]    
Finite-Lived Intangible Assets [Line Items]    
Intangible asset impairments   1,400
Etrasimod (Velsipity) [Member] | Developed Technology Rights [Member]    
Finite-Lived Intangible Assets [Line Items]    
Finite-lived intangible assets period increase (decrease)   3,600
Etrasimod (Velsipity) [Member] | IPR&D [Member]    
Finite-Lived Intangible Assets [Line Items]    
Indefinite-lived intangible assets, period increase (decrease)   3,600
Padcev [Member] | Developed Technology Rights [Member]    
Finite-Lived Intangible Assets [Line Items]    
Finite-lived intangible assets period increase (decrease)   2,100
Padcev [Member] | IPR&D [Member]    
Finite-Lived Intangible Assets [Line Items]    
Indefinite-lived intangible assets, period increase (decrease)   2,100
Bratovi/Mektovi [Member] | Developed Technology Rights [Member]    
Finite-Lived Intangible Assets [Line Items]    
Finite-lived intangible assets period increase (decrease)   1,100
Bratovi/Mektovi [Member] | IPR&D [Member]    
Finite-Lived Intangible Assets [Line Items]    
Indefinite-lived intangible assets, period increase (decrease)   1,100
Prevnar 13 [Member]    
Finite-Lived Intangible Assets [Line Items]    
Intangible asset impairments   $ 964
[1] Reflects intangible assets written down to fair value in 2023. Fair value was determined using the income approach, specifically the multi-period excess earnings method, also known as the discounted cash flow method. We started with a forecast of all the expected net cash flows for the asset and then applied an asset-specific discount rate to arrive at a net present value amount. Some of the more significant estimates and assumptions inherent in this approach include: the amount and timing of the projected net cash flows, which includes the expected impact of competitive, legal and/or regulatory forces on the product; the discount rate, which seeks to reflect the various risks inherent in the projected cash flows; and the tax rate, which seeks to incorporate the geographic diversity of the projected cash flows.