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Goodwill and Intangible Assets (Tables)
 9 Months Ended
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 adjustments500 
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, 2025December 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 agreements8,353 (7,193)1,160 8,315 (6,624)1,691 
Total definite-lived intangible assets89,479 (40,445)49,034 89,743 (34,877)54,866 
Indefinite-lived intangible assets5,281 — 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, 2025December 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 agreements8,353 (7,193)1,160 8,315 (6,624)1,691 
Total definite-lived intangible assets89,479 (40,445)49,034 89,743 (34,877)54,866 
Indefinite-lived intangible assets5,281 — 5,281 5,202 — 5,202 
Total intangible assets, net$94,760 $(40,445)$54,315 $94,945 $(34,877)$60,068