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Segment Reporting - Schedule of Equity Income from Affiliates and Depreciation and Amortization Included in Segment Profits (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Segment Reporting Information [Line Items]      
Depreciation and amortization $ 4,519 $ 4,676 $ 5,471
Operating Segments      
Segment Reporting Information [Line Items]      
Equity (income) loss from affiliates 4 7 (105)
Depreciation and amortization 335 212 183
Operating Segments | Pharmaceutical      
Segment Reporting Information [Line Items]      
Equity (income) loss from affiliates 4 7 (105)
Depreciation and amortization 243 125 160
Operating Segments | Animal Health      
Segment Reporting Information [Line Items]      
Equity (income) loss from affiliates 0 0 0
Depreciation and amortization 82 75 10
Operating Segments | All Other      
Segment Reporting Information [Line Items]      
Equity (income) loss from affiliates 0 0 0
Depreciation and amortization $ 10 $ 12 $ 13