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Changes in Other Comprehensive Income
 3 Months Ended
Mar. 31, 2021
Other Comprehensive Income (Loss) Net of Tax, Period Change [Abstract]  
Comprehensive Income (Loss) Note [Text Block]
NOTE M – CHANGES IN OTHER COMPREHENSIVE INCOME

The following tables provide the reclassifications out of Other comprehensive income (loss), net of tax:
(in millions)Foreign Currency Translation AdjustmentsNet Change in Derivative Financial InstrumentsNet Change in Defined Benefit Pensions and Other ItemsTotal
Balance as of December 31, 2020$218 $36 $(47)$207 
Other comprehensive income (loss) before reclassifications48 133 1 182 
(Income) loss amounts reclassified from accumulated other comprehensive income(1)
(131)(4)— (135)
Total other comprehensive income (loss)(83)129 1 47 
Balance as of March 31, 2021$134 $165 $(45)$254 
(1)    In connection with the completion of the divestiture of the Specialty Pharmaceuticals business in the first quarter of 2021, we released $127 million of cumulative translation adjustments associated with the disposed business from Accumulated other comprehensive income (loss), net of tax.
(in millions)Foreign Currency Translation AdjustmentsNet Change in Derivative Financial InstrumentsNet Change in Defined Benefit Pensions and Other ItemsTotal
Balance as of December 31, 2019$142 $173 $(45)$270 
Other comprehensive income (loss) before reclassifications(172)92 — (80)
(Income) loss amounts reclassified from accumulated other comprehensive income(5)(17)— (21)
Total other comprehensive income (loss)(177)75 — (101)
Balance as of March 31, 2020$(35)$248 $(45)$168 

Refer to Note D – Hedging Activities and Fair Value Measurements for further detail on our net investment hedges recorded in Foreign currency translation adjustments and our cash flow hedges recorded in Net change in derivative financial instruments.
The gains and losses on defined benefit and pension items before reclassifications and gains and losses on defined benefit and pension items reclassified from Accumulated other comprehensive income (loss), net of tax were reduced by immaterial income tax impacts in the first quarter 2021 and 2020.