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Restructuring Charges and Other Costs Associated with Acquisitions and Cost-Reduction/Productivity Initiatives - Costs - Footnotes (Detail) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Restructuring Cost and Reserve [Line Items]      
Restructuring charge (credit) $ 373 $ 782 $ 30
Operating Segments [Member]      
Restructuring Cost and Reserve [Line Items]      
Restructuring charge (credit)   207 (89)
Segment Reconciling Items [Member]      
Restructuring Cost and Reserve [Line Items]      
Restructuring charge (credit) 180 575 119
Biopharma Segment [Member] | Operating Segments [Member]      
Restructuring Cost and Reserve [Line Items]      
Restructuring charge (credit) 118    
Upjohn Segment [Member] | Operating Segments [Member]      
Restructuring Cost and Reserve [Line Items]      
Restructuring charge (credit) 75    
Restructuring Charges And Acquisition-Related Costs [Member] | Array [Member]      
Restructuring Cost and Reserve [Line Items]      
Post closing compensation expense for payments to Array employees for fair value of previously unvested stock options 157    
Pension Plan [Member] | Qualified Plan [Member] | United States [Member]      
Restructuring Cost and Reserve [Line Items]      
Gain on settlements $ (230) (113) $ (75)
Pension Plan [Member] | Qualified Plan [Member] | United States [Member] | Hospira [Member]      
Restructuring Cost and Reserve [Line Items]      
Gain on settlements   $ 12