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Contingencies (Details)
R$ in Millions, $ in Millions
1 Months Ended 6 Months Ended
Jun. 30, 2019
USD ($)
company
request
patent
demand
application
Jul. 31, 2019
BRL (R$)
Jul. 31, 2018
BRL (R$)
Jun. 30, 2019
USD ($)
case
company
request
patent
lawsuit
plaintiff
demand
defendant
application
Dr Reddy's Lab        
Loss Contingencies [Line Items]        
Claims settled and dismissed | case       2
Japanese Administrative Proceedings        
Loss Contingencies [Line Items]        
Number of demands | demand 3     3
Number of patents | patent 2     2
Adocia S.A        
Loss Contingencies [Line Items]        
Number of patents | patent 2     2
Amount of claim | $ $ 1,390     $ 1,390
Gain contingency, unrecorded amount | $ $ 188     $ 188
Insulin Pricing Litigation and Proceedings        
Loss Contingencies [Line Items]        
Number of requests for information from Committee on Energy and Commerce | request 2     2
U.S. | Alimta®        
Loss Contingencies [Line Items]        
Number of new application | application 10     10
Number of defendants | defendant       2
Number of companies | company 5     5
Brazil | Employee Litigation        
Loss Contingencies [Line Items]        
Damages awarded, value $ 130   R$ 500  
Number of lawsuits | lawsuit       30
Plaintiff Appealing Decision of Court | Brazil | Employee Litigation        
Loss Contingencies [Line Items]        
Number of similar lawsuits | lawsuit       2
Number of individuals       410
Plaintiff Appealing Decision of Court | Brazil | Employee Litigation, Similar Lawsuit One        
Loss Contingencies [Line Items]        
Number of individuals       305
Plaintiff Appealing Decision of Court | Brazil | Employee Litigation, Similar Lawsuit Two        
Loss Contingencies [Line Items]        
Number of individuals       105
Subsequent Event | Brazil | Employee Litigation        
Loss Contingencies [Line Items]        
Damages awarded, value | R$   R$ 500