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Taxes on Income - Narrative (Details) - USD ($)
$ in Millions
3 Months Ended 6 Months Ended 12 Months Ended
Jun. 30, 2018
Jun. 30, 2017
Jun. 30, 2018
Jun. 30, 2017
Dec. 31, 2017
Income Tax Examination [Line Items]          
Effective income tax rate (as percent) 17.80% 20.00% 28.40% 21.00%  
Research and development $ 2,274 $ 1,782 $ 5,470 $ 3,612  
Tax benefit related to settlement of state income tax issue   $ 88   $ 88  
Transition tax liability         $ 5,300
Net transition tax payment         5,100
Provisional deferred tax benefit         779
2017 Tax Cuts and Jobs Act (TCJA)          
Income Tax Examination [Line Items]          
Deferred taxes         $ 2,000
Eisai          
Income Tax Examination [Line Items]          
Research and development     $ 1,400