Contingencies (Details) R$ in Millions, $ in Millions	1 Months Ended			6 Months Ended
	Jun. 30, 2021 BRL (R$) patent	Jul. 31, 2019 BRL (R$)	Jul. 31, 2018 BRL (R$)	Jun. 30, 2023 BRL (R$) patent site	Jun. 30, 2023 USD ($) patent site	Oct. 31, 2019 lawsuit
Unfavorable Regulatory Action
Loss Contingencies [Line Items]
Number of sites jointly and severally liable for cleanup (fewer than) | site				10	10
Humalog, Humulin and Forteo
Loss Contingencies [Line Items]
Number of pending lawsuits | lawsuit						2
Emgality Patent Litigation
Loss Contingencies [Line Items]
Number of patents | patent	2			3	3
Employee Litigation, July 2018 Ruling | Brazil
Loss Contingencies [Line Items]
Damages awarded, value			R$ 300	R$ 1,150	$ 238
Employee Litigation, July 2019 Ruling | Brazil
Loss Contingencies [Line Items]
Damages awarded, value	R$ 100	R$ 500			$ 21