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Goodwill and Other Intangibles - Goodwill Activity by Segment (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Goodwill [Roll Forward]    
Goodwill, beginning balance $ 21,204 $ 21,264
Other (7) (60)
Goodwill, ending balance 21,197 21,204
Accumulated goodwill impairment losses 531 531
Pharmaceutical    
Goodwill [Roll Forward]    
Goodwill, beginning balance 17,936 17,997
Other (14) (61)
Goodwill, ending balance 17,922 17,936
Animal Health    
Goodwill [Roll Forward]    
Goodwill, beginning balance 3,268 3,267
Other 7 1
Goodwill, ending balance $ 3,275 $ 3,268