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Net Income Per Share Attributable to Gilead Common Stockholders - Schedule of the Calculation of Basic and Diluted EPS (Details) - USD ($)
$ / shares in Units, shares in Millions, $ in Millions
3 Months Ended
Mar. 31, 2019
Mar. 31, 2018
Earnings Per Share [Abstract]    
Net income attributable to Gilead $ 1,975 $ 1,538
Shares used in per share calculation - basic (in shares) 1,276 1,307
Dilutive effect of stock options and equivalents (in shares) 7 13
Shares used in per share calculation - diluted (in shares) 1,283 1,320
Net income per share attributable to Gilead common stockholders - basic (usd per share) $ 1.55 $ 1.18
Net income per share attributable to Gilead common stockholders - diluted (usd per share) $ 1.54 $ 1.17