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Stockholders' equity - Reclassifications out of AOCI (Details) - USD ($) $ in Millions | 12 Months Ended
--- | ---
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020
Reclassification Adjustment out of Accumulated Other Comprehensive Income [Line Items] |  |  |
Revenues | $ 26,323 | $ 25,979 | $ 25,424
Other (expense) income, net | (814) | 259 | 256
Interest expense, net | (1,406) | (1,197) | (1,262)
Income before income taxes | 7,346 | 6,701 | 8,133
Provision for income taxes | (794) | (808) | (869)
Net income | 6,552 | 5,893 | 7,264
Product sales |  |  |
Reclassification Adjustment out of Accumulated Other Comprehensive Income [Line Items] |  |  |
Revenues | 24,801 | 24,297 | 24,240
Reclassification out of AOCI [Member] | Cash flow hedges [Member] |  |  |
Reclassification Adjustment out of Accumulated Other Comprehensive Income [Line Items] |  |  |
Income before income taxes | (2) | (253) | 501
Provision for income taxes | 0 | 55 | (110)
Net income | (2) | (198) | 391
Reclassification out of AOCI [Member] | Available-for-sale securities [Member] |  |  |
Reclassification Adjustment out of Accumulated Other Comprehensive Income [Line Items] |  |  |
Other (expense) income, net | 0 | 0 | 33
Provision for income taxes | 0 | 0 | (7)
Net income | 0 | 0 | 26
Reclassification out of AOCI [Member] | Foreign currency contract [Member] | Product sales | Cash flow hedges [Member] |  |  |
Reclassification Adjustment out of Accumulated Other Comprehensive Income [Line Items] |  |  |
Revenues | 231 | (8) | 178
Reclassification out of AOCI [Member] | Cross-currency swap contract [Member] | Cash flow hedges [Member] |  |  |
Reclassification Adjustment out of Accumulated Other Comprehensive Income [Line Items] |  |  |
Other (expense) income, net | $ (233) | $ (245) | $ 323

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