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Goodwill and other intangible assets (Tables)
 9 Months Ended
Sep. 30, 2024
Goodwill and Intangible Assets Disclosure [Abstract]  
Schedule of Goodwill
The change in the carrying amount of goodwill was as follows (in millions):
Balance at January 1, 2024
$18,629 
Adjustments to goodwill resulting from acquisitions (1)
25 
Foreign currency translation adjustments
4 
Balance at September 30, 2024
$18,658 
____________
(1)     For the nine months ended September 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):
 September 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$48,636 $(21,472)$27,164 $48,631 $(18,049)$30,582 
Licensing rights3,864 (3,360)504 3,865 (3,265)600 
Marketing-related rights1,203 (1,188)15 1,339 (1,264)75 
Research and development technology rights1,400 (1,253)147 1,394 (1,228)166 
Total finite-lived intangible assets55,103 (27,273)27,830 55,229 (23,806)31,423 
Indefinite-lived intangible assets:
In-process research and development1,090 — 1,090 1,218 — 1,218 
Total other intangible assets$56,193 $(27,273)$28,920 $56,447 $(23,806)$32,641