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Goodwill and Other Intangibles - Narrative (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Apr. 01, 2019
Intangible Assets Excluding Goodwill [Line Items]        
Other intangibles, net $ 14,196 $ 13,104    
Intangible asset impairment charge related to marketed product 705   $ 58  
IPR&D impairment charges 172 152 483  
Changes in estimated fair value 64 89    
Amortization expense for intangible assets 2,000 3,100 3,200  
Estimated aggregate amortization expense, 2020 1,600      
Estimated aggregate amortization expense, 2021 1,500      
Estimated aggregate amortization expense, 2022 1,500      
Estimated aggregate amortization expense, 2023 1,500      
Estimated aggregate amortization expense, 2024 1,400      
Sivextro        
Intangible Assets Excluding Goodwill [Line Items]        
Intangible asset impairment charge related to marketed product 612      
Intron A        
Intangible Assets Excluding Goodwill [Line Items]        
Intangible asset impairment charge related to marketed product     47  
IOmet Pharma Ltd        
Intangible Assets Excluding Goodwill [Line Items]        
IPR&D impairment charges 155      
Changes in estimated fair value (11)      
SmartCells Program        
Intangible Assets Excluding Goodwill [Line Items]        
IPR&D impairment charges   139    
Changes in estimated fair value   (60)    
uprifosbuvir        
Intangible Assets Excluding Goodwill [Line Items]        
IPR&D impairment charges     240  
verubecestat        
Intangible Assets Excluding Goodwill [Line Items]        
IPR&D impairment charges     $ 226  
Products and product rights        
Intangible Assets Excluding Goodwill [Line Items]        
Other intangibles, net 7,095 9,030    
Products and product rights | Zerbaxa        
Intangible Assets Excluding Goodwill [Line Items]        
Other intangibles, net 2,400      
Products and product rights | Sivextro        
Intangible Assets Excluding Goodwill [Line Items]        
Other intangibles, net 171      
Products and product rights | Implanon/Nexplanon        
Intangible Assets Excluding Goodwill [Line Items]        
Other intangibles, net 412      
Products and product rights | Dificid        
Intangible Assets Excluding Goodwill [Line Items]        
Other intangibles, net 312      
Products and product rights | Gardasil/Gardasil 9        
Intangible Assets Excluding Goodwill [Line Items]        
Other intangibles, net 314      
Products and product rights | Bridion        
Intangible Assets Excluding Goodwill [Line Items]        
Other intangibles, net 230      
Products and product rights | Simponi        
Intangible Assets Excluding Goodwill [Line Items]        
Other intangibles, net 163      
Trade names        
Intangible Assets Excluding Goodwill [Line Items]        
Other intangibles, net 2,682 102    
Trade names | Animal Health        
Intangible Assets Excluding Goodwill [Line Items]        
Other intangibles, net 2,400      
Licenses        
Intangible Assets Excluding Goodwill [Line Items]        
Other intangibles, net 2,361 $ 1,673    
Licenses | Lenvima        
Intangible Assets Excluding Goodwill [Line Items]        
Other intangibles, net 956      
Licenses | Lynparza        
Intangible Assets Excluding Goodwill [Line Items]        
Other intangibles, net $ 955      
Antelliq        
Intangible Assets Excluding Goodwill [Line Items]        
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill       $ 2,689