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Financial Instruments and Fair Value Measures - Financial Instruments (Details) SFr in Millions, $ in Millions, € in Billions, kr in Billions | 9 Months Ended |  |
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Sep. 30, 2025 USD ($) | Sep. 30, 2024 USD ($) | Sep. 30, 2025 EUR (€) | Sep. 30, 2025 SEK (kr) | Sep. 30, 2025 CAD ($) | Sep. 30, 2025 CHF (SFr) | Dec. 31, 2024 USD ($) | Dec. 31, 2024 EUR (€) | Dec. 31, 2024 SEK (kr) | Dec. 31, 2024 CAD ($) | Dec. 31, 2024 CHF (SFr)
Derivative instruments, notional amount and fair value |  |  |  |  |  |  |  |  |  |  |
Amount excluded from the assessment of effectiveness for cash flow hedges | $ 0 | $ 0 |  |  |  |  |  |  |  |  |
Amount excluded from the assessment of effectiveness for fair value hedges | 0 | $ 0 |  |  |  |  |  |  |  |  |
Fair value - Derivatives in asset position | 125,000,000 |  |  |  |  |  | $ 313,000,000 |  |  |  |
Fair value - Derivatives in liability position | 690,000,000 |  |  |  |  |  | 266,000,000 |  |  |  |
Designated as hedging instrument | Net investment hedges | Senior notes |  |  |  |  |  |  |  |  |  |  |
Derivative instruments, notional amount and fair value |  |  |  |  |  |  |  |  |  |  |
Principal amount of unsecured senior notes | € |  |  | € 3.1 |  |  |  |  | € 3.1 |  |  |
Designated as hedging instrument | Foreign currency forward exchange contracts | Cash flow hedges |  |  |  |  |  |  |  |  |  |  |
Derivative instruments, notional amount and fair value |  |  |  |  |  |  |  |  |  |  |
Notional amount of derivative instruments | $ 3,300,000,000 |  |  |  |  |  | 1,900,000,000 |  |  |  |
Duration of forward exchange contracts | 18 months |  |  |  |  |  |  |  |  |  |
Approximate length of time over which accumulated gains and losses will be recognized in Cost of products sold | 6 months |  |  |  |  |  |  |  |  |  |
Designated as hedging instrument | Foreign currency forward exchange contracts | Cash flow hedges | Prepaid expenses and other |  |  |  |  |  |  |  |  |  |  |
Derivative instruments, notional amount and fair value |  |  |  |  |  |  |  |  |  |  |
Fair value - Derivatives in asset position | $ 29,000,000 |  |  |  |  |  | 119,000,000 |  |  |  |
Designated as hedging instrument | Foreign currency forward exchange contracts | Cash flow hedges | Accounts payable and accrued liabilities |  |  |  |  |  |  |  |  |  |  |
Derivative instruments, notional amount and fair value |  |  |  |  |  |  |  |  |  |  |
Fair value - Derivatives in liability position | 73,000,000 |  |  |  |  |  | 5,000,000 |  |  |  |
Designated as hedging instrument | Foreign currency forward exchange contracts | Cash flow hedges | Other assets |  |  |  |  |  |  |  |  |  |  |
Derivative instruments, notional amount and fair value |  |  |  |  |  |  |  |  |  |  |
Fair value - Derivatives in asset position | 0 |  |  |  |  |  | 0 |  |  |  |
Designated as hedging instrument | Foreign currency forward exchange contracts | Cash flow hedges | Other long-term liabilities |  |  |  |  |  |  |  |  |  |  |
Derivative instruments, notional amount and fair value |  |  |  |  |  |  |  |  |  |  |
Fair value - Derivatives in liability position | 1,000,000 |  |  |  |  |  | 0 |  |  |  |
Designated as hedging instrument | Foreign currency forward exchange contracts | Net investment hedges |  |  |  |  |  |  |  |  |  |  |
Derivative instruments, notional amount and fair value |  |  |  |  |  |  |  |  |  |  |
Notional amount of derivative instruments |  |  | € 6.5 | kr 1.9 | $ 500 | SFr 80 |  | € 6.2 | kr 1.4 | $ 500 | SFr 50
Designated as hedging instrument | Foreign currency forward exchange contracts | Net investment hedges | Prepaid expenses and other |  |  |  |  |  |  |  |  |  |  |
Derivative instruments, notional amount and fair value |  |  |  |  |  |  |  |  |  |  |
Fair value - Derivatives in asset position | 0 |  |  |  |  |  | 4,000,000 |  |  |  |
Designated as hedging instrument | Foreign currency forward exchange contracts | Net investment hedges | Accounts payable and accrued liabilities |  |  |  |  |  |  |  |  |  |  |
Derivative instruments, notional amount and fair value |  |  |  |  |  |  |  |  |  |  |
Fair value - Derivatives in liability position | 165,000,000 |  |  |  |  |  | 0 |  |  |  |
Designated as hedging instrument | Foreign currency forward exchange contracts | Net investment hedges | Other assets |  |  |  |  |  |  |  |  |  |  |
Derivative instruments, notional amount and fair value |  |  |  |  |  |  |  |  |  |  |
Fair value - Derivatives in asset position | 0 |  |  |  |  |  | 148,000,000 |  |  |  |
Designated as hedging instrument | Foreign currency forward exchange contracts | Net investment hedges | Other long-term liabilities |  |  |  |  |  |  |  |  |  |  |
Derivative instruments, notional amount and fair value |  |  |  |  |  |  |  |  |  |  |
Fair value - Derivatives in liability position | 326,000,000 |  |  |  |  |  | 0 |  |  |  |
Designated as hedging instrument | Interest rate swap contracts | Fair value hedges |  |  |  |  |  |  |  |  |  |  |
Derivative instruments, notional amount and fair value |  |  |  |  |  |  |  |  |  |  |
Notional amount of derivative instruments | 3,500,000,000 |  |  |  |  |  | 3,500,000,000 |  |  |  |
Designated as hedging instrument | Interest rate swap contracts | Fair value hedges | Other assets |  |  |  |  |  |  |  |  |  |  |
Derivative instruments, notional amount and fair value |  |  |  |  |  |  |  |  |  |  |
Fair value - Derivatives in asset position | 67,000,000 |  |  |  |  |  | 0 |  |  |  |
Designated as hedging instrument | Interest rate swap contracts | Fair value hedges | Other long-term liabilities |  |  |  |  |  |  |  |  |  |  |
Derivative instruments, notional amount and fair value |  |  |  |  |  |  |  |  |  |  |
Fair value - Derivatives in liability position | 106,000,000 |  |  |  |  |  | 231,000,000 |  |  |  |
Not designated as hedging instrument | Foreign currency forward exchange contracts |  |  |  |  |  |  |  |  |  |  |
Derivative instruments, notional amount and fair value |  |  |  |  |  |  |  |  |  |  |
Notional amount of derivative instruments | 10,100,000,000 |  |  |  |  |  | 5,900,000,000 |  |  |  |
Not designated as hedging instrument | Foreign currency forward exchange contracts | Prepaid expenses and other |  |  |  |  |  |  |  |  |  |  |
Derivative instruments, notional amount and fair value |  |  |  |  |  |  |  |  |  |  |
Fair value - Derivatives in asset position | 29,000,000 |  |  |  |  |  | 42,000,000 |  |  |  |
Not designated as hedging instrument | Foreign currency forward exchange contracts | Accounts payable and accrued liabilities |  |  |  |  |  |  |  |  |  |  |
Derivative instruments, notional amount and fair value |  |  |  |  |  |  |  |  |  |  |
Fair value - Derivatives in liability position | $ 19,000,000 |  |  |  |  |  | $ 30,000,000 |  |  |  |

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