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Goodwill and Intangible Assets (Details) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2024
Dec. 31, 2023
Goodwill and Intangible Assets [Line Items]    
Goodwill $ 23,383 $ 23,679
Decrease in goodwill due to foreign currency translation adjustments 294  
Amount of reductions of goodwill relating to impairments 0  
Gross amount of amortizable intangible assets 27,500 27,700
Accumulated amortization of intangible assets 20,000 19,700
Decrease in intangible assets due to foreign currency translation adjustments 38  
Impairment charge 8  
Estimated annual amortization expense, intangible assets, remainder of year 1,900  
Estimated annual amortization expense, intangible assets, year one 1,700  
Estimated annual amortization expense, intangible assets, year two 1,600  
Estimated annual amortization expense, intangible assets, year three 1,300  
Estimated annual amortization expense, intangible assets, year four 700  
Indefinite-lived intangible assets related to in-process R&D acquired in a business combination 787 $ 787
Established Pharmaceutical Products    
Goodwill and Intangible Assets [Line Items]    
Goodwill 2,700  
Nutritionals    
Goodwill and Intangible Assets [Line Items]    
Goodwill 285  
Diagnostics    
Goodwill and Intangible Assets [Line Items]    
Goodwill 3,500  
Medical Devices    
Goodwill and Intangible Assets [Line Items]    
Goodwill $ 16,900