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Goodwill and other intangible assets (Tables)
 6 Months Ended
Jun. 30, 2024
Goodwill and Intangible Assets Disclosure [Abstract]  
Schedule of Goodwill
The change in the carrying amount of goodwill was as follows (in millions):
Six months ended
June 30, 2024
Beginning balance$18,629 
Adjustments to goodwill resulting from acquisitions (1)
(1)
Currency translation adjustment(12)
Ending balance$18,616 
____________
(1)     For the six months ended June 30, 2024, adjustments to goodwill consisted of measurement period adjustments related to our Horizon acquisition. See Note 2, Acquisitions.
Schedule of Identifiable Intangible Assets
Other intangible assets consisted of the following (in millions):
 June 30, 2024December 31, 2023
 Gross
carrying
amounts		Accumulated
amortization		Other intangible
assets, net		Gross
carrying
amounts		Accumulated
amortization		Other intangible
assets, net
Finite-lived intangible assets:
Developed-product-technology rights$48,621 $(20,320)$28,301 $48,631 $(18,049)$30,582 
Licensing rights3,864 (3,329)535 3,865 (3,265)600 
Marketing-related rights1,203 (1,169)34 1,339 (1,264)75 
Research and development technology rights1,383 (1,231)152 1,394 (1,228)166 
Total finite-lived intangible assets55,071 (26,049)29,022 55,229 (23,806)31,423 
Indefinite-lived intangible assets:
In-process research and development1,150 — 1,150 1,218 — 1,218 
Total other intangible assets$56,221 $(26,049)$30,172 $56,447 $(23,806)$32,641