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Stockholders' equity - Reclassifications Out of Accumulated Other Comprehensive Income (Details) - USD ($) $ in Millions | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2024 | Jun. 30, 2024 | Mar. 31, 2024 | Sep. 30, 2023 | Jun. 30, 2023 | Mar. 31, 2023 | Sep. 30, 2024 | Sep. 30, 2023
Reclassification out of Accumulated Other Comprehensive Income [Line Items] |  |  |  |  |  |  |  |
Product sales | $ 8,503 |  |  | $ 6,903 |  |  | $ 24,338 | $ 19,994
Other income, net | 1,830 |  |  | 685 |  |  | 1,288 | 2,431
Income before income taxes | 3,101 |  |  | 1,947 |  |  | 3,827 | 7,003
Provision for income taxes | (271) |  |  | (217) |  |  | (364) | (1,053)
Net income | 2,830 | $ 746 | $ (113) | 1,730 | $ 1,379 | $ 2,841 | 3,463 | 5,950
Product sales |  |  |  |  |  |  |  |
Reclassification out of Accumulated Other Comprehensive Income [Line Items] |  |  |  |  |  |  |  |
Product sales | 8,151 |  |  | 6,548 |  |  | 23,310 | 19,077
Reclassification out of Accumulated Other Comprehensive Income | Cash flow hedges |  |  |  |  |  |  |  |
Reclassification out of Accumulated Other Comprehensive Income [Line Items] |  |  |  |  |  |  |  |
Income before income taxes | 166 |  |  | (53) |  |  | 238 | 64
Provision for income taxes | (36) |  |  | 11 |  |  | (51) | (14)
Net income | 130 |  |  | (42) |  |  | 187 | 50
Reclassification out of Accumulated Other Comprehensive Income | Foreign currency contract gains | Cash flow hedges | Product sales |  |  |  |  |  |  |  |
Reclassification out of Accumulated Other Comprehensive Income [Line Items] |  |  |  |  |  |  |  |
Product sales | 45 |  |  | 33 |  |  | 151 | 121
Reclassification out of Accumulated Other Comprehensive Income | Cross-currency swap contract gains (losses) | Cash flow hedges |  |  |  |  |  |  |  |
Reclassification out of Accumulated Other Comprehensive Income [Line Items] |  |  |  |  |  |  |  |
Other income, net | 121 |  |  | (86) |  |  | 87 | (57)
Reclassification out of Accumulated Other Comprehensive Income | Cash flow hedges | Foreign currency contract gains | Cash flow hedges | Product sales |  |  |  |  |  |  |  |
Reclassification out of Accumulated Other Comprehensive Income [Line Items] |  |  |  |  |  |  |  |
Product sales | 45 |  |  | 33 |  |  | 151 | 121
Reclassification out of Accumulated Other Comprehensive Income | Cash flow hedges | Cross-currency swap contract gains (losses) | Cash flow hedges |  |  |  |  |  |  |  |
Reclassification out of Accumulated Other Comprehensive Income [Line Items] |  |  |  |  |  |  |  |
Other income, net | $ 121 |  |  | $ (86) |  |  | $ 87 | $ (57)

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