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REVENUE - Reconciliation of Gross Product Sales to Net Product Sales (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Gross to Net Adjustments [Line Items]      
Total Revenues $ 45,006 $ 46,159 $ 46,385
Gross to net adjustments (29,901) (24,962) (22,842)
Prior period gross to net adjustment impacted by new accounting pronouncement 134 229 319
Gross product sales      
Gross to Net Adjustments [Line Items]      
Total Revenues 73,679 69,633 67,897
Net product sales      
Gross to Net Adjustments [Line Items]      
Total Revenues 43,778 44,671 45,055
Charge-backs and cash discounts      
Gross to Net Adjustments [Line Items]      
Gross to net adjustments (9,144) (7,469) (7,253)
Medicaid and Medicare rebates      
Gross to Net Adjustments [Line Items]      
Gross to net adjustments (13,411) (11,362) (9,374)
Other rebates, returns, discounts and adjustments      
Gross to Net Adjustments [Line Items]      
Gross to net adjustments $ (7,346) $ (6,131) $ (6,215)