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Revenues (Details)
$ in Millions
3 Months Ended
Mar. 31, 2021
USD ($)
segment
Mar. 31, 2020
USD ($)
Revenue from Contract with Customer [Abstract]    
Number of operating segments | segment 1  
Revenue from External Customer [Line Items]    
Total revenues $ 5,901 $ 6,161
Product sales [Member]    
Revenue from External Customer [Line Items]    
Total product sales 5,592 5,894
Product sales [Member] | US [Member]    
Revenue from External Customer [Line Items]    
Total product sales 3,903 4,279
Product sales [Member] | ROW [Member]    
Revenue from External Customer [Line Items]    
Total product sales 1,689 1,615
Enbrel® (etanercept) [Member]    
Revenue from External Customer [Line Items]    
Total product sales 924 1,153
Enbrel® (etanercept) [Member] | US [Member]    
Revenue from External Customer [Line Items]    
Total product sales 894 1,117
Enbrel® (etanercept) [Member] | ROW [Member]    
Revenue from External Customer [Line Items]    
Total product sales 30 36
Prolia® (denosumab) [Member]    
Revenue from External Customer [Line Items]    
Total product sales 758 654
Prolia® (denosumab) [Member] | US [Member]    
Revenue from External Customer [Line Items]    
Total product sales 501 422
Prolia® (denosumab) [Member] | ROW [Member]    
Revenue from External Customer [Line Items]    
Total product sales 257 232
Neulasta® (pegfilgrastim) [Member]    
Revenue from External Customer [Line Items]    
Total product sales 482 609
Neulasta® (pegfilgrastim) [Member] | US [Member]    
Revenue from External Customer [Line Items]    
Total product sales 421 534
Neulasta® (pegfilgrastim) [Member] | ROW [Member]    
Revenue from External Customer [Line Items]    
Total product sales 61 75
Otezla (apremilast) [Member]    
Revenue from External Customer [Line Items]    
Total product sales 476 479
Otezla (apremilast) [Member] | US [Member]    
Revenue from External Customer [Line Items]    
Total product sales 366 377
Otezla (apremilast) [Member] | ROW [Member]    
Revenue from External Customer [Line Items]    
Total product sales 110 102
XGEVA® (denosumab) [Member]    
Revenue from External Customer [Line Items]    
Total product sales 468 481
XGEVA® (denosumab) [Member] | US [Member]    
Revenue from External Customer [Line Items]    
Total product sales 334 355
XGEVA® (denosumab) [Member] | ROW [Member]    
Revenue from External Customer [Line Items]    
Total product sales 134 126
Aranesp® (darbepoetin alfa) [Member]    
Revenue from External Customer [Line Items]    
Total product sales 355 422
Aranesp® (darbepoetin alfa) [Member] | US [Member]    
Revenue from External Customer [Line Items]    
Total product sales 125 175
Aranesp® (darbepoetin alfa) [Member] | ROW [Member]    
Revenue from External Customer [Line Items]    
Total product sales 230 247
Repatha (evolocumab) [Member]    
Revenue from External Customer [Line Items]    
Total product sales 286 229
Repatha (evolocumab) [Member] | US [Member]    
Revenue from External Customer [Line Items]    
Total product sales 139 124
Repatha (evolocumab) [Member] | ROW [Member]    
Revenue from External Customer [Line Items]    
Total product sales 147 105
KYPROLIS® (carfilzomib) [Member]    
Revenue from External Customer [Line Items]    
Total product sales 251 280
KYPROLIS® (carfilzomib) [Member] | US [Member]    
Revenue from External Customer [Line Items]    
Total product sales 159 187
KYPROLIS® (carfilzomib) [Member] | ROW [Member]    
Revenue from External Customer [Line Items]    
Total product sales 92 93
Other products [Member]    
Revenue from External Customer [Line Items]    
Total product sales 1,592 1,587
Other products [Member] | US [Member]    
Revenue from External Customer [Line Items]    
Total product sales 964 988
Other products [Member] | ROW [Member]    
Revenue from External Customer [Line Items]    
Total product sales 628 599
Other revenues [Member]    
Revenue from External Customer [Line Items]    
Total revenues $ 309 $ 267