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Goodwill and Intangible Assets (Details) - USD ($)
$ in Millions
9 Months Ended
Sep. 30, 2024
Dec. 31, 2023
Goodwill and Intangible Assets [Line Items]    
Goodwill $ 23,658 $ 23,679
Increase in goodwill due to foreign currency translation adjustments 18  
Decrease in goodwill due to purchase accounting finalization for business acquisitions 39  
Amount of reductions of goodwill relating to impairments 0  
Gross amount of amortizable intangible assets 27,700 27,700
Accumulated amortization of intangible assets 21,100 19,700
Decrease in intangible assets due to foreign currency translation adjustments (9)  
Estimated annual amortization expense, intangible assets, 2024 1,900  
Estimated annual amortization expense, intangible assets, 2025 1,700  
Estimated annual amortization expense, intangible assets, 2026 1,600  
Estimated annual amortization expense, intangible assets, 2027 1,300  
Estimated annual amortization expense, intangible assets, 2028 700  
Indefinite-lived intangible assets related to in-process R&D acquired in a business combination 798 $ 787
Increase in in-process R&D due to acquisition 35  
Established Pharmaceutical Products    
Goodwill and Intangible Assets [Line Items]    
Goodwill 2,700  
Nutritional Products    
Goodwill and Intangible Assets [Line Items]    
Goodwill 285  
Diagnostic Products    
Goodwill and Intangible Assets [Line Items]    
Goodwill 3,600  
Medical Devices    
Goodwill and Intangible Assets [Line Items]    
Goodwill 17,100  
Impairment charge 51  
Impairment of indefinite-lived intangible assets $ 25