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Reclassification Out of Accumulated Other Comprehensive Income (Details) (USD $)
3 Months Ended 9 Months Ended 12 Months Ended 9 Months Ended 12 Months Ended 9 Months Ended 12 Months Ended 3 Months Ended 9 Months Ended 3 Months Ended 9 Months Ended 3 Months Ended 9 Months Ended 3 Months Ended 9 Months Ended
Sep. 30, 2013
Sep. 30, 2012
Sep. 30, 2013
Sep. 30, 2012
Sep. 30, 2013
Accumulated Net Unrealized Investment Gain (Loss)
Dec. 31, 2012
Accumulated Net Unrealized Investment Gain (Loss)
Sep. 30, 2013
Accumulated Net Gain (Loss) from Designated or Qualifying Cash Flow Hedges [Member]
Dec. 31, 2012
Accumulated Net Gain (Loss) from Designated or Qualifying Cash Flow Hedges [Member]
Sep. 30, 2013
Accumulated Defined Benefit Plans Adjustment
Dec. 31, 2012
Accumulated Defined Benefit Plans Adjustment
Sep. 30, 2013
Reclassification Out of Accumulated Other Comprehensive Income
Accumulated Net Gain (Loss) from Designated or Qualifying Cash Flow Hedges [Member]
Sep. 30, 2013
Reclassification Out of Accumulated Other Comprehensive Income
Accumulated Net Gain (Loss) from Designated or Qualifying Cash Flow Hedges [Member]
Sep. 30, 2013
Foreign Exchange Contract
Reclassification Out of Accumulated Other Comprehensive Income
Accumulated Net Gain (Loss) from Designated or Qualifying Cash Flow Hedges [Member]
Sep. 30, 2013
Foreign Exchange Contract
Reclassification Out of Accumulated Other Comprehensive Income
Accumulated Net Gain (Loss) from Designated or Qualifying Cash Flow Hedges [Member]
Sep. 30, 2013
Unrealized Gain (Loss)
Reclassification Out of Accumulated Other Comprehensive Income
Accumulated Net Unrealized Investment Gain (Loss)
Sep. 30, 2013
Unrealized Gain (Loss)
Reclassification Out of Accumulated Other Comprehensive Income
Accumulated Net Unrealized Investment Gain (Loss)
Sep. 30, 2013
Unrealized Gain on Investments
Reclassification Out of Accumulated Other Comprehensive Income
Accumulated Net Unrealized Investment Gain (Loss)
Sep. 30, 2013
Unrealized Gain on Investments
Reclassification Out of Accumulated Other Comprehensive Income
Accumulated Net Unrealized Investment Gain (Loss)
Reclassification out of Accumulated Other Comprehensive Income                                    
Investment income $ 26,000,000 $ 29,000,000 $ 93,000,000 $ 85,000,000                     $ (1,000,000) $ 11,000,000    
Total net gain on derivatives before tax                     1,000,000 11,000,000            
Net of tax                     1,000,000 9,000,000     (1,000,000) 7,000,000    
Product sales revenue 3,165,000,000 3,084,000,000 9,535,000,000 9,332,000,000                 (3,000,000) 13,000,000        
Cost of product sales 1,324,000,000 1,292,000,000 4,020,000,000 3,849,000,000                 (4,000,000) (2,000,000)        
Provision for income tax $ (181,000,000) $ (185,000,000) $ (474,000,000) $ (590,000,000) $ (17,000,000) $ (37,000,000) $ 67,000,000 $ 67,000,000 $ 87,000,000 $ 87,000,000 $ 0 $ (2,000,000)         $ 0 $ 4,000,000