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Selected Quarterly Financial Information (unaudited) (Details) - USD ($)
$ / shares in Units, $ in Millions
3 Months Ended 12 Months Ended
Dec. 31, 2018
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Dec. 31, 2017
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Finite-Lived Intangible Assets [Line Items]                      
Gross profit on product sales $ 4,111 $ 4,369 $ 4,344 $ 4,000 $ 4,581 $ 5,370 $ 5,920 $ 5,420      
Net income 3 2,099 1,819 1,539 (3,836) 2,712 3,069 2,699 $ 5,460 $ 4,644 $ 13,488
Net income attributable to Gilead $ 3 $ 2,097 $ 1,817 $ 1,538 $ (3,865) $ 2,718 $ 3,073 $ 2,702 $ 5,455 $ 4,628 $ 13,501
Net income per share attributable to Gilead common stockholders-basic (usd per share) $ 0.00 $ 1.62 $ 1.40 $ 1.18 $ (2.96) $ 2.08 $ 2.35 $ 2.07 $ 4.20 $ 3.54 $ 10.08
Earnings Per Share, Diluted $ 0.00 $ 1.60 $ 1.39 $ 1.17 $ (2.96) $ 2.06 $ 2.33 $ 2.05 $ 4.17 $ 3.51 $ 9.94
Revenues $ 5,795 $ 5,596 $ 5,648 $ 5,088 $ 5,949 $ 6,512 $ 7,141 $ 6,505 $ 22,127 $ 26,107 $ 30,390
Estimated net charge related to enactment of TCJA         $ 5,500            
TCJAimpactBasicEPS         $ 4.20            
TCJAImpactDilutedEPS         $ 4.16            
ImpactBasicEPS $ 1.31                    
ImpactDilutedEPS $ 1.30                    
Impairment of Intangible Assets, Finite-lived $ 820                    
Inventory write-down                 572    
impairmentTaxEffected [Member]                      
Finite-Lived Intangible Assets [Line Items]                      
Deferred Income Tax Expense (Benefit) 588                    
Inventory Reserve for Excess Raw Materials [Member]                      
Finite-Lived Intangible Assets [Line Items]                      
Inventory write-down $ 410               $ 440