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Changes in Other Comprehensive Income (Tables)
9 Months Ended
Sep. 30, 2021
Other Comprehensive Income (Loss) Net of Tax, Period Change [Abstract]  
Changes in Other Comprehensive Income [Table Text Block]
The following tables provide the reclassifications out of Other comprehensive income (loss), net of tax:

Three Months Ended September 30
(in millions)Foreign Currency Translation AdjustmentsNet Change in Derivative Financial InstrumentsNet Change in Defined Benefit Pensions and Other ItemsTotal
Balance as of June 30, 2021$136 $146 $(46)$237 
Other comprehensive income (loss) before reclassifications(47)61 — 14 
(Income) loss amounts reclassified from accumulated other comprehensive income(2)(11)— (13)
Total other comprehensive income (loss)(49)50 — 
Balance as of September 30, 2021$88 $196 $(46)$238 

(in millions)Foreign Currency Translation AdjustmentsNet Change in Derivative Financial InstrumentsNet Change in Defined Benefit Pensions and Other ItemsTotal
Balance as of June 30, 2020$(46)$222 $(45)$131 
Other comprehensive income (loss) before reclassifications88 (50)— 38 
(Income) loss amounts reclassified from accumulated other comprehensive income(5)(14)— (19)
Total other comprehensive income (loss)84 (64)— 20 
Balance as of September 30, 2020$38 $158 $(45)$151 
Nine Months Ended September 30

(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 reclassifications182 188 
(Income) loss amounts reclassified from accumulated other comprehensive income(1)
(135)(21)— (157)
Total other comprehensive income (loss)(130)161 31 
Balance as of September 30, 2021$88 $196 $(46)$238 
(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(90)36 — (54)
(Income) loss amounts reclassified from accumulated other comprehensive income(14)(52)— (65)
Total other comprehensive income (loss)(104)(15)— (119)
Balance as of September 30, 2020$38 $158 $(45)$151