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Segments of Business and Geographic Areas - Operating Profit by Segment of Business (Details) - USD ($)
$ in Millions
3 Months Ended
Mar. 30, 2025
Mar. 31, 2024
Segment Reporting Information [Line Items]    
Sales to customers (Note 9) $ 21,893 $ 21,383
Cost of products sold 7,357 6,511
Gross Profit 14,536 14,872
Selling, marketing and administrative expenses 5,112 5,257
Research and development expense 3,225 3,542
Other (income) expense, net 7,321 (2,404)
Earnings before provision for taxes on income 13,631 3,714
Less: Expense not allocated to segments (7,000) 2,775
Restructuring charges 17 164
Innovative Medicine    
Segment Reporting Information [Line Items]    
Sales to customers (Note 9) 13,873 13,562
Restructuring charges 100  
MedTech    
Segment Reporting Information [Line Items]    
Sales to customers (Note 9) 8,020 7,821
Restructuring charges 100  
Acquisition related costs 100 100
Consumer | Talc    
Segment Reporting Information [Line Items]    
Litigation expense   2,700
Reversal of fee expense 7,000  
Operating Segments    
Segment Reporting Information [Line Items]    
Earnings before provision for taxes on income 6,631 6,489
Restructuring charges 55 171
Operating Segments | Innovative Medicine    
Segment Reporting Information [Line Items]    
Sales to customers (Note 9) 13,873 13,562
Cost of products sold 4,020 3,370
Selling, marketing and administrative expenses 2,261 2,438
Research and development expense 2,548 2,896
Other (income) expense, net (166) (111)
Earnings before provision for taxes on income 5,210 4,969
Amortization 600 700
Restructuring charges 0 144
Operating Segments | MedTech    
Segment Reporting Information [Line Items]    
Sales to customers (Note 9) 8,020 7,821
Cost of products sold 3,326 3,120
Selling, marketing and administrative expenses 2,656 2,582
Research and development expense 677 646
Other (income) expense, net (60) (47)
Earnings before provision for taxes on income 1,421 1,520
Amortization 500 400
Restructuring charges $ 55 $ 27