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Goodwill and Intangible Assets - Intangible Assets (Details) - USD ($) $ in Millions	6 Months Ended
	Jun. 30, 2021	Dec. 31, 2020
Goodwill and Intangible Assets
Gross amount of amortizable intangible assets	$ 27,800	$ 27,800
Accumulated amortization of intangible assets	15,100	14,200
Increase (Decrease) in intangible assets due to foreign currency translation adjustments	(83)
Estimated annual amortization expense, intangible assets, 2021	2,000
Estimated annual amortization expense, intangible assets, 2022	2,000
Estimated annual amortization expense, intangible assets, 2023	1,900
Estimated annual amortization expense, intangible assets, 2024	1,900
Estimated annual amortization expense, intangible assets, 2025	1,900
Indefinite-lived intangible assets related to in-process R&D acquired in a business combination	947	$ 1,200
Established Pharmaceutical Products Segment
Goodwill and Intangible Assets
Impairment of amortizable intangible assets	$ 11

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Amount of amortization for assets, excluding financial assets and goodwill, lacking physical substance with finite life expected to be recognized for the entire current fiscal year

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Accumulated amount of amortization of assets, excluding financial assets and goodwill, lacking physical substance with a finite life.

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Amount of amortization for assets, excluding financial assets and goodwill, lacking physical substance with finite life expected to be recognized in next fiscal year following current fiscal year. Excludes interim and annual periods when interim periods are reported from current statement of financial position date (rolling approach).

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Amount of amortization for assets, excluding financial assets and goodwill, lacking physical substance with finite life expected to be recognized in fourth fiscal year following current fiscal year. Excludes interim and annual periods when interim periods are reported from current statement of financial position date (rolling approach).

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Amount of amortization for assets, excluding financial assets and goodwill, lacking physical substance with finite life expected to be recognized in third fiscal year following current fiscal year. Excludes interim and annual periods when interim periods are reported from current statement of financial position date (rolling approach).

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Amount of amortization for assets, excluding financial assets and goodwill, lacking physical substance with finite life expected to be recognized in second fiscal year following current fiscal year. Excludes interim and annual periods when interim periods are reported from current statement of financial position date (rolling approach).

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Amount of foreign currency translation gain (loss) which increases (decreases) assets, excluding financial assets and goodwill, lacking physical substance with a finite life.

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Amount before amortization of assets, excluding financial assets and goodwill, lacking physical substance with a finite life.

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The amount of impairment loss recognized in the period resulting from the write-down of the carrying amount of a finite-lived intangible asset to fair value.

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Amount of assets, excluding financial assets and goodwill, lacking physical substance and having a projected indefinite period of benefit.

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