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Goodwill and Intangible Assets - Intangible Assets, Net (Details) - USD ($)
$ in Millions
 3 Months Ended 9 Months Ended
Sep. 30, 2025
Sep. 30, 2024
Sep. 30, 2025
Sep. 30, 2024
Dec. 31, 2024
Finite-Lived Intangible Assets          
Gross carrying amount $ 89,479   $ 89,479   $ 89,743
Accumulated amortization (40,445)   (40,445)   (34,877)
Net carrying amount 49,034   49,034   54,866
Indefinite-lived intangible assets 5,281   5,281   5,202
Total intangible assets gross carrying amount 94,760   94,760   94,945
Intangible assets, net 54,315   54,315   60,068
Amortization of intangible assets 1,900 $ 1,900 5,593 $ 5,726  
Amortization expense 1,900 $ 1,900 5,593 $ 5,726  
Resonic and Durysta          
Finite-Lived Intangible Assets          
Impairment of Intangible Assets, Finite-Lived 847        
Developed product rights          
Finite-Lived Intangible Assets          
Gross carrying amount 81,126   81,126   81,428
Accumulated amortization (33,252)   (33,252)   (28,253)
Net carrying amount 47,874   47,874   53,175
Developed product rights | Resonic          
Finite-Lived Intangible Assets          
Net carrying amount 407   407    
Finite-Lived Intangible Assets, Fair Value Disclosure 407   407    
Developed product rights | Durysta          
Finite-Lived Intangible Assets          
Net carrying amount 711   711    
Finite-Lived Intangible Assets, Fair Value Disclosure 271   271    
License agreements          
Finite-Lived Intangible Assets          
Gross carrying amount 8,353   8,353   8,315
Accumulated amortization (7,193)   (7,193)   (6,624)
Net carrying amount $ 1,160   $ 1,160   $ 1,691