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Taxes on Income - Narrative (Details) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2019
Mar. 31, 2018
Income Tax Examination [Line Items]    
Effective income tax rate (as percent) 6.70% 44.90%
Research and development $ 1,931 $ 3,196
Eisai    
Income Tax Examination [Line Items]    
Research and development   $ 1,400
Internal Revenue Service (IRS) | Domestic Tax Authority    
Income Tax Examination [Line Items]    
Tax benefit recognized related to settlement 360  
Income Taxes Paid $ 107