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Financial Instruments and Fair Value Measures - Amount Of Gain/(Loss) Recognized For Derivative Instruments (Details) - USD ($) $ in Millions | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2025 | Sep. 30, 2024 | Sep. 30, 2025 | Sep. 30, 2024
Gain (loss) on derivatives |  |  |  |
Pre-tax gains (losses) to be transferred into cost of products sold for foreign currency cash flow hedges during the next 12 months | $ (36) |  | $ (36) |
Pre-tax gains (losses) to be transferred into interest expense, net for treasury rate lock agreement cash flow hedges during the next 12 months | 21 |  | 21 |
Interest expense, net | Fair value hedges |  |  |  |
Gain (loss) on derivatives |  |  |  |
Debt designated as hedged item in fair value hedges gain (loss) recognized in the consolidated statements of earnings | (6) | $ (60) | (108) | $ (49)
Designated as hedging instrument | Senior notes |  |  |  |
Gain (loss) on derivatives |  |  |  |
Pre-tax gains (losses) from net investment hedge instruments recognized in other comprehensive income | (1) | (151) | (417) | 56
Foreign currency forward exchange contracts | Designated as hedging instrument |  |  |  |
Gain (loss) on derivatives |  |  |  |
Pre-tax gains (losses) from cash flow hedges recognized in other comprehensive income | 46 | (45) | (108) | 30
Pre-tax gains (losses) from net investment hedge instruments recognized in other comprehensive income | 53 | (238) | (710) | (16)
Foreign currency forward exchange contracts | Designated as hedging instrument | Cash flow hedges |  |  |  |
Gain (loss) on derivatives |  |  |  |
Derivative instrument net gains (losses) recognized in the consolidate statements of earnings | 41 | 19 | $ 69 | $ 41
Derivative, Gain (Loss), Statement of Income or Comprehensive Income [Extensible Enumeration] |  |  | Cost of products sold | Cost of products sold
Foreign currency forward exchange contracts | Designated as hedging instrument | Net investment hedges |  |  |  |
Gain (loss) on derivatives |  |  |  |
Derivative instrument net gains (losses) recognized in the consolidate statements of earnings | 37 | 32 | $ 108 | $ 90
Derivative, Gain (Loss), Statement of Income or Comprehensive Income [Extensible Enumeration] |  |  | Interest Income (Expense), Nonoperating | Interest Income (Expense), Nonoperating
Foreign currency forward exchange contracts | Not designated as hedges |  |  |  |
Gain (loss) on derivatives |  |  |  |
Derivative instrument net gains (losses) recognized in the consolidate statements of earnings | (1) | (30) | $ (47) | $ (14)
Derivative, Gain (Loss), Statement of Income or Comprehensive Income [Extensible Enumeration] |  |  | Gain (Loss), Foreign Currency Transaction, before Tax | Gain (Loss), Foreign Currency Transaction, before Tax
Interest rate swap contracts | Designated as hedging instrument |  |  |  |
Gain (loss) on derivatives |  |  |  |
Pre-tax gains (losses) from cash flow hedges recognized in other comprehensive income |  |  |  | $ (46)
Interest rate swap contracts | Designated as hedging instrument | Fair value hedges |  |  |  |
Gain (loss) on derivatives |  |  |  |
Derivative instrument net gains (losses) recognized in the consolidate statements of earnings | 6 | 60 | $ 108 | $ 49
Derivative, Gain (Loss), Statement of Income or Comprehensive Income [Extensible Enumeration] |  |  | Interest Income (Expense), Nonoperating | Interest Income (Expense), Nonoperating
Treasury rate lock agreements | Designated as hedging instrument | Cash flow hedges |  |  |  |
Gain (loss) on derivatives |  |  |  |
Derivative instrument net gains (losses) recognized in the consolidate statements of earnings | $ 5 | $ 6 | $ 15 | $ 18
Derivative, Gain (Loss), Statement of Income or Comprehensive Income [Extensible Enumeration] |  | Interest Income (Expense), Nonoperating | Interest Income (Expense), Nonoperating |

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