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Goodwill and Other Intangibles - Goodwill Activity by Segment (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Goodwill [Roll Forward]    
Goodwill, Beginning Balance $ 19,425 $ 18,253
Acquisitions 847 1,341
Divestitures (54)  
Impairments   (162)
Other 20 (7)
Goodwill, Ending Balance 20,238 19,425
Accumulated goodwill impairment losses 531 531
Pharmaceutical    
Goodwill [Roll Forward]    
Goodwill, Beginning Balance 16,181 16,162
Acquisitions 742 19
Divestitures 0  
Impairments   0
Other 47 0
Goodwill, Ending Balance 16,970 16,181
Animal Health    
Goodwill [Roll Forward]    
Goodwill, Beginning Balance 3,192 1,870
Acquisitions 105 1,322
Divestitures 0  
Impairments   0
Other (29) 0
Goodwill, Ending Balance 3,268 3,192
All Other    
Goodwill [Roll Forward]    
Goodwill, Beginning Balance 52 221
Acquisitions 0 0
Divestitures (54)  
Impairments   (162)
Other 2 (7)
Goodwill, Ending Balance $ 0 $ 52