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Financial Instruments and Fair Value Measures - Fair Value Measures (Details) - USD ($)
$ in Millions
3 Months Ended 12 Months Ended
Sep. 30, 2019
Jun. 30, 2019
Dec. 31, 2018
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Assets            
Foreign currency contracts     $ 132 $ 53 $ 132  
Liabilities            
Foreign currency contracts     492 132 492  
Change in fair value recognized in net earnings       $ (3,091) (49) $ (626)
Stemcentrx Inc.            
Liabilities            
Change in fair value recognized in net earnings $ 91   (428)      
SKYRIZI            
Liabilities            
Change in fair value recognized in net earnings   $ (2,300)        
Change in assumed discount rate | Changes Measurement            
Liabilities            
Discount rate change       50.00%    
Contingent consideration liability change       $ 280    
Change in assumed probability rate | Changes Measurement            
Liabilities            
Contingent consideration liability change       $ 150    
Assumed probability rate change       5.00%    
Recurring            
Assets            
Cash and equivalents     7,289 $ 39,924 7,289  
Debt securities     1,536 3 1,536  
Equity securities       24    
Interest rate swap contracts       31    
Equity securities     4   4  
Total assets     9,529 40,004 9,529  
Liabilities            
Interest rate swap contracts     466 76 466  
Contingent consideration     4,483 7,340 4,483  
Total liabilities     4,975 7,472 4,975  
Recurring | Time deposits            
Assets            
Time deposits     568   568  
Recurring | Foreign currency contracts            
Assets            
Foreign currency contracts     132 22 132  
Liabilities            
Foreign currency contracts     26 56 26  
Recurring | Quoted prices in active markets for identical assets (Level 1)            
Assets            
Cash and equivalents     1,209 1,542 1,209  
Debt securities     0 0 0  
Equity securities       24    
Interest rate swap contracts       0    
Equity securities     4   4  
Total assets     1,213 1,566 1,213  
Liabilities            
Interest rate swap contracts     0 0 0  
Contingent consideration     0 0 0  
Total liabilities     0 0 0  
Recurring | Quoted prices in active markets for identical assets (Level 1) | Time deposits            
Assets            
Time deposits     0   0  
Recurring | Quoted prices in active markets for identical assets (Level 1) | Foreign currency contracts            
Assets            
Foreign currency contracts     0 0 0  
Liabilities            
Foreign currency contracts     0 0 0  
Recurring | Significant other observable inputs (Level 2)            
Assets            
Cash and equivalents     6,080 38,382 6,080  
Debt securities     1,536 3 1,536  
Equity securities       0    
Interest rate swap contracts       31    
Equity securities     0   0  
Total assets     8,316 38,438 8,316  
Liabilities            
Interest rate swap contracts     466 76 466  
Contingent consideration     0 0 0  
Total liabilities     492 132 492  
Recurring | Significant other observable inputs (Level 2) | Time deposits            
Assets            
Time deposits     568   568  
Recurring | Significant other observable inputs (Level 2) | Foreign currency contracts            
Assets            
Foreign currency contracts     132 22 132  
Liabilities            
Foreign currency contracts     26 56 26  
Recurring | Significant unobservable Inputs (Level 3)            
Assets            
Cash and equivalents     0 0 0  
Debt securities     0 0 0  
Equity securities       0    
Interest rate swap contracts       0    
Equity securities     0   0  
Total assets     0 0 0  
Liabilities            
Interest rate swap contracts     0 0 0  
Contingent consideration     4,483 7,340 4,483  
Total liabilities     4,483 7,340 4,483  
Recurring | Significant unobservable Inputs (Level 3) | Time deposits            
Assets            
Time deposits     0   0  
Recurring | Significant unobservable Inputs (Level 3) | Foreign currency contracts            
Assets            
Foreign currency contracts     0 0 0  
Liabilities            
Foreign currency contracts     $ 0 $ 0 $ 0