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Provisions for discounts, rebates and sales returns (Tables) | 12 Months Ended
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Dec. 31, 2022
Other Provisions, Contingent Liabilities And Contingent Assets [Abstract] |
Summary of Movement in Provisions for Discounts, Rebates and Sales Returns | The table below shows movements in these items:
(€ million) |  | Government and State programs(a) | Managed care and GPO programs(b) | Chargeback incentives | Rebates and discounts | Sales returns | Other deductions | Total
Balance at January 1, 2020 |  | 2,178 |  | 726 |  | 312 |  | 1,330 |  | 621 |  | 51 |  | 5,218 |
Provision related to current period sales |  | 5,970 |  | 2,752 |  | 4,633 |  | 6,221 |  | 628 |  | 110 |  | 20,314 |
Net change in provision related to prior period sales |  | (54) |  | — |  | — |  | (113) |  | (34) |  | — |  | (201) |
Payments made |  | (5,552) |  | (2,556) |  | (4,604) |  | (5,838) |  | (512) |  | (112) |  | (19,174) |
Currency translation differences |  | (35) |  | (14) |  | (8) |  | (43) |  | (15) |  | (3) |  | (118) |
Balance at December 31, 2020 | (c) | 2,507 |  | 908 |  | 333 |  | 1,557 |  | 688 |  | 46 |  | 6,039 |
Changes in scope of consolidation |  | 3 |  | — |  | — |  | (2) |  | 1 |  | — |  | 2 |
Provision related to current period sales |  | 5,855 |  | 3,037 |  | 3,813 |  | 6,330 |  | 582 |  | 97 |  | 19,714 |
Net change in provision related to prior period sales |  | (136) |  | (3) |  | (4) |  | (152) |  | 56 |  | (3) |  | (242) |
Payments made |  | (5,561) |  | (2,979) |  | (3,828) |  | (6,291) |  | (697) |  | (105) |  | (19,461) |
Currency translation differences |  | (72) |  | (32) |  | (11) |  | (17) |  | (20) |  | (1) |  | (153) |
Balance at December 31, 2021 | (c) | 2,596 |  | 931 |  | 303 |  | 1,425 |  | 610 |  | 34 |  | 5,899 |
Provision related to current period sales |  | 6,744 |  | 3,246 |  | 4,147 |  | 7,244 |  | 578 |  | 182 |  | 22,141 |
Net change in provision related to prior period sales |  | (120) |  | (47) |  | (21) |  | (138) |  | (8) |  | 19 |  | (315) |
Payments made |  | (6,824) |  | (3,208) |  | (4,093) |  | (6,809) |  | (599) |  | (166) |  | (21,699) |
Currency translation differences |  | 207 |  | 99 |  | 26 |  | 83 |  | 48 |  | 1 |  | 464 |
Balance at December 31, 2022 | (c) | 2,603 |  | 1,021 |  | 362 |  | 1,805 |  | 629 |  | 70 |  | 6,490 |
(a) Primarily US government programs: Medicaid (€1,307 million in 2022, €1,244 million in 2021, €1,015 million in 2020) and Medicare (€775 million in 2022, €941 million in 2021 and €726 million in 2020). (b) Mainly rebates and other price reductions granted to healthcare authorities in the United States (including Managed Care: €934 million in 2022, €896 million in 2021 and €692 million in 2020). (c) Provisions related to US net sales amounted to €4,270 million as of December 31, 2022, €4,057 million as of December 31, 2021 and €3,982 million as of December 31, 2020.

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