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v3.23.2

Financing arrangements - Narrative (Details) | 3 Months Ended | 6 Months Ended |  |
--- | --- | --- | --- | ---
Jun. 30, 2023 USD ($) | Mar. 31, 2023 USD ($) | Jun. 30, 2023 USD ($) renewal_option | Jun. 30, 2023 CHF (SFr) | Dec. 31, 2022 USD ($)
Debt Instrument [Line Items] |  |  |  |  |
Extinguishment of debt | $ 420,000,000 |  |  |  |
Gain (loss) on extinguishment of debt | 113,000,000 |  |  |  |
Face amount | 24,000,000,000 |  | $ 24,000,000,000 |  |
Commitment fee percentage |  |  | 0.09% |  |
Horizon Therapeutics |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Aggregate principal amount |  |  |  |  | $ 24,500,000,000
term loan credit agreement, total amount | 4,000,000,000 |  | $ 4,000,000,000 |  | 4,000,000,000
term loan outstanding | 0 |  | $ 0 |  | 0
Horizon Therapeutics | Other Nonoperating Income (Expense) |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Financing cost | 98,000,000 |  |  |  |
Debt Securities Payable | Minimum |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Redemption period without payment |  |  | 2 months |  |
Debt Securities Payable | Maximum |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Redemption period without payment |  |  | 6 months |  |
Line of Credit |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Maximum borrowing capacity | 4,000,000,000 |  | $ 4,000,000,000 |  |
Amount by which borrowing capacity under a syndicated unsecured revolving credit agreement may be increased upon our request at discretion of banks |  |  | $ 1,250,000,000 |  |
Initial commitment term |  |  | 5 years |  |
Number of renewal options | renewal_option |  |  | 2 |  |
Commitment term extension period |  |  | 1 year |  |
Amounts outstanding under credit facility | $ 0 |  | $ 0 |  | 0
Line of Credit | Secured overnight financing rate | Variable Rate Component One |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Basis spread on variable rate |  |  | 1.01% |  |
Line of Credit | Secured overnight financing rate | Variable Rate Component Two |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Basis spread on variable rate |  |  | 1.10% |  |
Line of Credit | Federal Funds Purchased |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Basis spread on variable rate | 0.50% |  |  |  |
prior line of credit |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Maximum borrowing capacity |  |  |  |  | $ 2,500,000,000
Amount by which borrowing capacity under a syndicated unsecured revolving credit agreement may be increased upon our request at discretion of banks |  | $ 750,000,000 |  |  |
4.563% notes due 2048 (4.563% 2048 Notes) | Notes |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Interest rate, stated percentage | 4.563% |  | 4.563% | 4.563% |
Effective interest rate | 6.30% |  | 6.30% | 6.30% |
4.663% notes due 2051 (4.663% 2051 Notes) | Notes |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Interest rate, stated percentage | 4.663% |  | 4.663% | 4.663% |
Effective interest rate | 5.60% |  | 5.60% | 5.60% |
2.77% notes due 2053 (2.77% 2053 Notes) | Notes |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Interest rate, stated percentage | 2.77% |  | 2.77% | 2.77% |
Effective interest rate | 5.20% |  | 5.20% | 5.20% |
5.25% notes due 2025 (5.25% 2025 Notes) | Notes |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Interest rate, stated percentage | 5.25% |  | 5.25% | 5.25% |
Percentage of the principal amount of the notes |  |  | 101.00% |  |
Percentage of the principal amount of the notes, change in control triggering event |  |  | 101.00% |  |
Face amount | $ 2,000,000,000 |  | $ 2,000,000,000 |  |
5.507% notes due 2026 (5.507% 2026 Notes) | Notes |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Interest rate, stated percentage | 5.507% |  | 5.507% | 5.507% |
Percentage of the principal amount of the notes |  |  | 101.00% |  |
Percentage of the principal amount of the notes, change in control triggering event |  |  | 101.00% |  |
Face amount | $ 1,500,000,000 |  | $ 1,500,000,000 |  |
5.507% notes due 2026 (5.507% 2026 Notes) | Debt Securities Payable |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Redemption period without payment |  |  | 2 years |  |
5.15% notes due 2028 (5.15% 2028 Notes) | Notes |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Interest rate, stated percentage | 5.15% |  | 5.15% | 5.15% |
Percentage of the principal amount of the notes |  |  | 101.00% |  |
Percentage of the principal amount of the notes, change in control triggering event |  |  | 101.00% |  |
Face amount | $ 3,750,000,000 |  | $ 3,750,000,000 |  |
5.25% notes due 2030 (5.25% 2030 Notes) | Notes |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Interest rate, stated percentage | 5.25% |  | 5.25% | 5.25% |
Percentage of the principal amount of the notes |  |  | 101.00% |  |
Percentage of the principal amount of the notes, change in control triggering event |  |  | 101.00% |  |
Face amount | $ 2,750,000,000 |  | $ 2,750,000,000 |  |
5.25% notes due 2033 (5.25% 2033 Notes) | Notes |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Interest rate, stated percentage | 5.25% |  | 5.25% | 5.25% |
Percentage of the principal amount of the notes |  |  | 101.00% |  |
Percentage of the principal amount of the notes, change in control triggering event |  |  | 101.00% |  |
Face amount | $ 4,250,000,000 |  | $ 4,250,000,000 |  |
5.60% notes due 2043 (5.60% 2043 Notes) | Notes |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Interest rate, stated percentage | 5.60% |  | 5.60% | 5.60% |
Percentage of the principal amount of the notes |  |  | 101.00% |  |
Percentage of the principal amount of the notes, change in control triggering event |  |  | 101.00% |  |
Face amount | $ 2,750,000,000 |  | $ 2,750,000,000 |  |
5.65% notes due 2053 (5.65% 2053 Notes) | Notes |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Interest rate, stated percentage | 5.65% |  | 5.65% | 5.65% |
Percentage of the principal amount of the notes |  |  | 101.00% |  |
Percentage of the principal amount of the notes, change in control triggering event |  |  | 101.00% |  |
Face amount | $ 4,250,000,000 |  | $ 4,250,000,000 |  |
5.75% notes due 2063 (5.75% 2063 Notes) | Notes |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Interest rate, stated percentage | 5.75% |  | 5.75% | 5.75% |
Percentage of the principal amount of the notes, change in control triggering event |  |  | 101.00% |  |
Face amount | $ 2,750,000,000 |  | $ 2,750,000,000 |  |
2.00% notes due 2032 (2.00% 2032 Notes) | Notes |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Interest rate, stated percentage | 2.00% |  | 2.00% | 2.00% |
3.15% notes due 2040 (3.15% 2040 Notes) | Notes |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Interest rate, stated percentage | 3.15% |  | 3.15% | 3.15% |
2.80% notes due 2041 (2.80% 2041 Notes) | Notes |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Interest rate, stated percentage | 2.80% |  | 2.80% | 2.80% |
3.375% notes due 2050 (3.375% 2050 Notes) | Notes |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Interest rate, stated percentage | 3.375% |  | 3.375% | 3.375% |
3.00% notes due 2052 (3.00% 2052 Notes) | Notes |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Interest rate, stated percentage | 3.00% |  | 3.00% | 3.00% |
4.20% notes due 2052 (4.20% 2052 Notes) | Notes |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Interest rate, stated percentage | 4.20% |  | 4.20% | 4.20% |
4.40% notes due 2062 (4.40% 2062 Notes) | Notes |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Interest rate, stated percentage | 4.40% |  | 4.40% | 4.40% |
0.41% CHF700 million bonds due 2023 (0.41% 2023 Swiss franc Bonds) | Cross-currency swap contracts | Cash flow hedge |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Notional amounts | $ 704,000,000 |  | $ 704,000,000 |  |
0.41% CHF700 million bonds due 2023 (0.41% 2023 Swiss franc Bonds) | Notes |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |
Interest rate, stated percentage | 0.41% |  | 0.41% | 0.41% |
Face amount | SFr |  |  |  | SFr 700,000,000 |

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