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Goodwill and Intangible Assets (Tables) | 9 Months Ended
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Sep. 30, 2025
Goodwill and Intangible Assets Disclosure [Abstract] |
Summary of changes in the carrying amount of goodwill | The following table summarizes the changes in the carrying amount of goodwill:
(in millions) |
Balance as of December 31, 2024 | $ | 34,956 |
Additions(a) | 170 |
Foreign currency translation adjustments | 500 |
Balance as of September 30, 2025 | $ | 35,626 |
(a) Goodwill additions related to the acquisition of Nimble (see Note 4).
Summary of definite-lived intangible assets | The following table summarizes intangible assets:
| September 30, 2025 |  | December 31, 2024
(in millions) | Gross carrying amount |  | Accumulated amortization |  | Net carrying amount |  | Gross carrying amount |  | Accumulated amortization |  | Net carrying amount
Definite-lived intangible assets |  |  |  |  |  |  |  |  |  |  |
Developed product rights | $ | 81,126 |  |  | $ | (33,252) |  |  | $ | 47,874 |  |  | $ | 81,428 |  |  | $ | (28,253) |  |  | $ | 53,175 |
License agreements | 8,353 |  |  | (7,193) |  |  | 1,160 |  |  | 8,315 |  |  | (6,624) |  |  | 1,691 |
Total definite-lived intangible assets | 89,479 |  |  | (40,445) |  |  | 49,034 |  |  | 89,743 |  |  | (34,877) |  |  | 54,866 |
Indefinite-lived intangible assets | 5,281 |  |  | — |  |  | 5,281 |  |  | 5,202 |  |  | — |  |  | 5,202 |
Total intangible assets, net | $ | 94,760 |  |  | $ | (40,445) |  |  | $ | 54,315 |  |  | $ | 94,945 |  |  | $ | (34,877) |  |  | $ | 60,068 |
Summary of indefinite-lived intangible assets | The following table summarizes intangible assets:
| September 30, 2025 |  | December 31, 2024
(in millions) | Gross carrying amount |  | Accumulated amortization |  | Net carrying amount |  | Gross carrying amount |  | Accumulated amortization |  | Net carrying amount
Definite-lived intangible assets |  |  |  |  |  |  |  |  |  |  |
Developed product rights | $ | 81,126 |  |  | $ | (33,252) |  |  | $ | 47,874 |  |  | $ | 81,428 |  |  | $ | (28,253) |  |  | $ | 53,175 |
License agreements | 8,353 |  |  | (7,193) |  |  | 1,160 |  |  | 8,315 |  |  | (6,624) |  |  | 1,691 |
Total definite-lived intangible assets | 89,479 |  |  | (40,445) |  |  | 49,034 |  |  | 89,743 |  |  | (34,877) |  |  | 54,866 |
Indefinite-lived intangible assets | 5,281 |  |  | — |  |  | 5,281 |  |  | 5,202 |  |  | — |  |  | 5,202 |
Total intangible assets, net | $ | 94,760 |  |  | $ | (40,445) |  |  | $ | 54,315 |  |  | $ | 94,945 |  |  | $ | (34,877) |  |  | $ | 60,068 |

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