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v3.23.3

Derivative instruments - Summary of Amount Recorded in Income & Expense (Details) - USD ($) $ in Millions | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2023 | Sep. 30, 2022 | Sep. 30, 2023 | Sep. 30, 2022
Derivative Instruments, Gain (Loss) [Line Items] |  |  |  |
Product sales | $ 6,903 | $ 6,652 | $ 19,994 | $ 19,484
Other income (expense), net | 685 | 100 | 2,431 | (747)
Interest expense, net | (759) | (368) | (2,054) | (991)
Interest rate swap agreements |  |  |  |
Derivative Instruments, Gain (Loss) [Line Items] |  |  |  |
Gains (losses) on fair value hedging relationships, Hedged items | 58 | 240 | 63 | 734
Gains (losses) on fair value hedging relationships, Derivatives designated as hedging instruments | (37) | (220) | 5 | (670)
Reclassification out of Accumulated Other Comprehensive Income | Cash flow hedges | Cross-currency swap contracts |  |  |  |
Derivative Instruments, Gain (Loss) [Line Items] |  |  |  |
Other income (expense), net | (86) | (198) | (57) | (461)
Product sales |  |  |  |
Derivative Instruments, Gain (Loss) [Line Items] |  |  |  |
Product sales | 6,548 | 6,237 | 19,077 | 18,249
Product sales | Reclassification out of Accumulated Other Comprehensive Income | Cash flow hedges | Foreign currency forward contracts |  |  |  |
Derivative Instruments, Gain (Loss) [Line Items] |  |  |  |
Product sales | $ 33 | $ 69 | $ 121 | $ 149

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