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Equity - Shareholders' Equity (Details) - USD ($)
$ in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2018
Jun. 30, 2017
Jun. 30, 2018
Jun. 30, 2017
Jan. 01, 2018
Increase (Decrease) in Stockholders' Equity [Roll Forward]          
Shares, beginning balance (in shares)     3,577,103,522    
Equity, beginning balance     $ 34,569 $ 40,308  
Adoption of new accounting standards         $ 48
Net income attributable to Merck & Co., Inc. $ 1,707 $ 1,946 2,443 3,496  
Other comprehensive income (loss), net of taxes     62 132  
Cash dividends declared on common stock     (2,592) (2,583)  
Treasury stock shares purchased     (2,162) (2,153)  
Share-based compensation plans and other     394 483  
Acquisition of Vallée       25  
Net income attributable to noncontrolling interests $ 9 5 14 11  
Distributions attributable to noncontrolling interests     $ (10)    
Other changes in noncontrolling ownership interests       (7)  
Shares, ending balance (in shares) 3,577,103,522   3,577,103,522    
Equity, ending balance $ 32,766 $ 39,712 $ 32,766 $ 39,712  
Common Stock          
Increase (Decrease) in Stockholders' Equity [Roll Forward]          
Shares, beginning balance (in shares)     3,577,000,000 3,577,000,000  
Equity, beginning balance     $ 1,788 $ 1,788  
Shares, ending balance (in shares) 3,577,000,000 3,577,000,000 3,577,000,000 3,577,000,000  
Equity, ending balance $ 1,788 $ 1,788 $ 1,788 $ 1,788  
Other Paid-In Capital          
Increase (Decrease) in Stockholders' Equity [Roll Forward]          
Equity, beginning balance     39,902 39,939  
Share-based compensation plans and other     (161) (163)  
Equity, ending balance 39,741 39,776 39,741 39,776  
Retained Earnings          
Increase (Decrease) in Stockholders' Equity [Roll Forward]          
Equity, beginning balance     41,350 44,133  
Adoption of new accounting standards         322
Net income attributable to Merck & Co., Inc.     2,443 3,496  
Cash dividends declared on common stock     (2,592) (2,583)  
Equity, ending balance 41,523 45,046 41,523 45,046  
Accumulated Other Comprehensive Loss          
Increase (Decrease) in Stockholders' Equity [Roll Forward]          
Equity, beginning balance     (4,910) (5,226)  
Adoption of new accounting standards         $ (274)
Other comprehensive income (loss), net of taxes     62 132  
Equity, ending balance $ (5,122) $ (5,094) $ (5,122) $ (5,094)  
Treasury Stock          
Increase (Decrease) in Stockholders' Equity [Roll Forward]          
Shares, beginning balance (in shares)     880,000,000 828,000,000  
Equity, beginning balance     $ (43,794) $ (40,546)  
Treasury stock shares purchased (in shares)     37,000,000 34,000,000  
Treasury stock shares purchased     $ (2,162) $ (2,153)  
Share-based compensation plans and other (in shares)     (10,000,000) (12,000,000)  
Share-based compensation plans and other     $ 555 $ 646  
Shares, ending balance (in shares) 907,000,000 850,000,000 907,000,000 850,000,000  
Equity, ending balance $ (45,401) $ (42,053) $ (45,401) $ (42,053)  
Non- Controlling Interests          
Increase (Decrease) in Stockholders' Equity [Roll Forward]          
Equity, beginning balance     233 220  
Acquisition of Vallée       25  
Net income attributable to noncontrolling interests     14 11  
Distributions attributable to noncontrolling interests     (10)    
Other changes in noncontrolling ownership interests       (7)  
Equity, ending balance $ 237 $ 249 $ 237 $ 249