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Equity - Stock-Based Compensation (Details) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2025
Sep. 30, 2024
Sep. 30, 2025
Sep. 30, 2024
Share-based Compensation Arrangement by Share-based Payment Award        
Pre-tax compensation expense $ 209 $ 181 $ 798 $ 747
Tax benefit (35) (33) (139) (127)
After-tax compensation expense 174 148 659 620
Post-closing, cash settled expenses related to acquisitions 95 161 95 510
Cost of products sold        
Share-based Compensation Arrangement by Share-based Payment Award        
Pre-tax compensation expense 10 12 43 44
Post-closing, cash settled expenses related to acquisitions 0 5 0 36
Research and development        
Share-based Compensation Arrangement by Share-based Payment Award        
Pre-tax compensation expense 76 67 315 274
Post-closing, cash settled expenses related to acquisitions 28 58 28 184
Selling, general and administrative        
Share-based Compensation Arrangement by Share-based Payment Award        
Pre-tax compensation expense 123 102 440 429
Post-closing, cash settled expenses related to acquisitions $ 67 $ 98 $ 67 $ 290