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Hedging Activities and Fair Value Measurements (Details) € in Millions, $ in Millions | 12 Months Ended |
--- | --- | ---
Dec. 31, 2023 USD ($) units | Dec. 31, 2022 USD ($) | Dec. 31, 2021 USD ($) | Dec. 31, 2021 EUR (€)
Derivative Instruments, Gain (Loss) [Line Items] |  |  |  |
Derivative, Notional Amount | $ 6,896 | $ 8,321 |  |
Cost of Goods and Services Sold | 4,345 | 3,956 | $ 3,711 |
Interest Expense | 265 | 470 | 341 |
Other Operating Income (Expense), Net | 93 | 38 | (218) |
Derivative Asset, Fair Value, Gross Asset | 266 | 381 |  |
Derivative Liability, Fair Value, Gross Liability | 1,050 | 1,005 |  |
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] |  |  |  |
Derivative assets | 107 | 149 |  |
Licensing arrangements | $ 30 | 67 |  |
Derivative Liability, Statement of Financial Position [Extensible Enumeration] | Other Liabilities, Noncurrent |  |  |
Fair value of contingent consideration | $ 404 | 149 | 486 |
Licensing arrangements | 41 | 80 |  |
Cash | 411 | 256 |  |
Debt Instrument, Fair Value Disclosure | 8,735 | 8,203 |  |
November 2019 Aggregate Offering |  |  |  |
Derivative Instruments, Gain (Loss) [Line Items] |  |  |  |
Long-term Debt | € |  |  |  | € 900
December 2027 Notes |  |  |  |
Derivative Instruments, Gain (Loss) [Line Items] |  |  |  |
Long-term Debt | $ 995 | 960 |  |
Debt Instrument, Interest Rate, Stated Percentage | 0.625% |  |  |
Financial Asset |  |  |  |
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] |  |  |  |
Risk-Adjusted Discount Rates used in Purchase Price Allocation | 15.00% |  |  |
Level 3 |  |  |  |
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] |  |  |  |
Licensing arrangements | $ 77 |  |  |
Licensing arrangements | 90 |  |  |
Fair Value, Measurements, Recurring [Member] |  |  |  |
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] |  |  |  |
Money Market Funds, at Carrying Value | 454 | 673 |  |
Equity Securities, FV-NI | 18 | 2 |  |
Derivative assets | 266 | 381 |  |
Licensing arrangements | 77 | 127 |  |
Assets, Fair Value Disclosure | 816 | 1,182 |  |
Foreign Currency Contracts, Liability, Fair Value Disclosure | 1,050 | 1,005 |  |
Fair value of contingent consideration | 404 | 149 |  |
Licensing arrangements | 90 | 159 |  |
Financial and Nonfinancial Liabilities, Fair Value Disclosure | 1,545 | 1,313 |  |
Fair Value, Measurements, Recurring [Member] | Level 1 |  |  |  |
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] |  |  |  |
Money Market Funds, at Carrying Value | 454 | 673 |  |
Equity Securities, FV-NI | 18 | 2 |  |
Derivative assets | 0 | 0 |  |
Licensing arrangements | 0 | 0 |  |
Assets, Fair Value Disclosure | 472 | 674 |  |
Foreign Currency Contracts, Liability, Fair Value Disclosure | 0 | 0 |  |
Fair value of contingent consideration | 0 | 0 |  |
Licensing arrangements | 0 | 0 |  |
Financial and Nonfinancial Liabilities, Fair Value Disclosure | 0 | 0 |  |
Fair Value, Measurements, Recurring [Member] | Level 2 |  |  |  |
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] |  |  |  |
Money Market Funds, at Carrying Value | 0 | 0 |  |
Equity Securities, FV-NI | 0 | 0 |  |
Derivative assets | 266 | 381 |  |
Licensing arrangements | 0 | 0 |  |
Assets, Fair Value Disclosure | 266 | 381 |  |
Foreign Currency Contracts, Liability, Fair Value Disclosure | 1,050 | 1,005 |  |
Fair value of contingent consideration | 0 | 0 |  |
Licensing arrangements | 0 | 0 |  |
Financial and Nonfinancial Liabilities, Fair Value Disclosure | 1,050 | 1,005 |  |
Fair Value, Measurements, Recurring [Member] | Level 3 |  |  |  |
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] |  |  |  |
Money Market Funds, at Carrying Value | 0 | 0 |  |
Equity Securities, FV-NI | 0 | 0 |  |
Derivative assets | 0 | 0 |  |
Licensing arrangements | 77 | 127 |  |
Assets, Fair Value Disclosure | 77 | 127 |  |
Foreign Currency Contracts, Liability, Fair Value Disclosure | 0 | 0 |  |
Fair value of contingent consideration | 404 | 149 |  |
Licensing arrangements | 90 | 159 |  |
Financial and Nonfinancial Liabilities, Fair Value Disclosure | 494 | 308 |  |
Fair Value, Measurements, Recurring [Member] | Level 3 | Financial Asset |  |  |  |
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] |  |  |  |
Licensing arrangements | 77 | 127 | 246 |
Proceeds from Royalties Received | (61) | (141) |  |
Increase (Decrease) in Fair Value Adjustments on Other Assets (Liabilities) Carried at Fair Value under Fair Value Option | 11 | 22 |  |
Fair Value, Measurements, Recurring [Member] | Level 3 | Financial Liability |  |  |  |
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] |  |  |  |
Licensing arrangements | 90 | 159 | 281 |
Payments for Royalties | (80) | (145) |  |
Increase (Decrease) in Fair Value Adjustments on Other Assets (Liabilities) Carried at Fair Value under Fair Value Option | 12 | 23 |  |
Designated as Hedging Instrument [Member] |  |  |  |
Derivative Instruments, Gain (Loss) [Line Items] |  |  |  |
Derivative Instruments in Hedges, Assets, at Fair Value | 246 | 345 |  |
Derivative Instruments in Hedges, Liabilities, at Fair Value | 1,012 | 953 |  |
Designated as Hedging Instrument [Member] | Other long-term liabilities |  |  |  |
Derivative Instruments, Gain (Loss) [Line Items] |  |  |  |
Derivative Instruments in Hedges, Liabilities, at Fair Value | $ 988 | 952 |  |
Designated as Hedging Instrument [Member] | Forward currency contracts |  |  |  |
Derivative Instruments, Gain (Loss) [Line Items] |  |  |  |
Forward Currency Contracts, Time to Maturity | units | 36 |  |  |
Designated as Hedging Instrument [Member] | Forward currency contracts | Other long-term assets |  |  |  |
Derivative Instruments, Gain (Loss) [Line Items] |  |  |  |
Derivative Instruments in Hedges, Assets, at Fair Value | $ 107 | 149 |  |
Designated as Hedging Instrument [Member] | Forward currency contracts | Other current liabilities |  |  |  |
Derivative Instruments, Gain (Loss) [Line Items] |  |  |  |
Derivative Instruments in Hedges, Liabilities, at Fair Value | 15 | 0 |  |
Designated as Hedging Instrument [Member] | Forward currency contracts | Other long-term liabilities |  |  |  |
Derivative Instruments, Gain (Loss) [Line Items] |  |  |  |
Derivative Instruments in Hedges, Liabilities, at Fair Value | 9 | 1 |  |
Designated as Hedging Instrument [Member] | Forward currency contracts | Other current assets |  |  |  |
Derivative Instruments, Gain (Loss) [Line Items] |  |  |  |
Derivative Instruments in Hedges, Assets, at Fair Value | 140 | 196 |  |
Not Designated as Hedging Instrument [Member] | Other, net |  |  |  |
Derivative Instruments, Gain (Loss) [Line Items] |  |  |  |
Gain (Loss) on Foreign Currency Derivative Instruments Not Designated as Hedging Instruments | 3 | (53) | (16) |
Foreign Currency Transaction Gain (Loss), before Tax | (44) | 21 | (12) |
Net gain (loss) from foreign currency transaction exposures | 44 | (21) | 12 |
Net currency exchange gain (loss) | (41) | (31) | (27) |
Not Designated as Hedging Instrument [Member] | Forward currency contracts |  |  |  |
Derivative Instruments, Gain (Loss) [Line Items] |  |  |  |
Derivative, Notional Amount | 3,282 | 4,235 |  |
Not Designated as Hedging Instrument [Member] | Forward currency contracts | Other current liabilities |  |  |  |
Derivative Instruments, Gain (Loss) [Line Items] |  |  |  |
Derivative Instruments Not Designated as Hedging Instruments, Liability, at Fair Value | 38 | 52 |  |
Not Designated as Hedging Instrument [Member] | Forward currency contracts | Other current assets |  |  |  |
Derivative Instruments, Gain (Loss) [Line Items] |  |  |  |
Derivative Instruments Not Designated as Hedging Instruments, Asset, at Fair Value | $ 20 | 36 |  |
Weighted Average | Financial Asset |  |  |  |
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] |  |  |  |
Risk-Adjusted Discount Rates used in Purchase Price Allocation | 15.00% |  |  |
Weighted Average | Financial Liability |  |  |  |
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] |  |  |  |
Risk-Adjusted Discount Rates used in Purchase Price Allocation | 13.00% |  |  |
Minimum | Financial Liability |  |  |  |
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] |  |  |  |
Risk-Adjusted Discount Rates used in Purchase Price Allocation | 12.00% |  |  |
Maximum | Financial Liability |  |  |  |
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] |  |  |  |
Risk-Adjusted Discount Rates used in Purchase Price Allocation | 15.00% |  |  |
Cash flow hedge | Forward currency contracts | Cost of products sold |  |  |  |
Derivative Instruments, Gain (Loss) [Line Items] |  |  |  |
Foreign Currency Cash Flow Hedge Gain (Loss) to be Reclassified During Next 12 Months | $ 152 |  |  |
Cash flow hedge | Interest rate derivative contracts | Interest expense |  |  |  |
Derivative Instruments, Gain (Loss) [Line Items] |  |  |  |
Interest Rate Cash Flow Hedge Gain (Loss) to be Reclassified During Next 12 Months, Net | (1) |  |  |
Cash flow hedge | Designated as Hedging Instrument [Member] | Forward currency contracts |  |  |  |
Derivative Instruments, Gain (Loss) [Line Items] |  |  |  |
Derivative, Notional Amount | 2,284 | 2,725 |  |
Cash flow hedge | Designated as Hedging Instrument [Member] | Forward currency contracts | Cost of products sold |  |  |  |
Derivative Instruments, Gain (Loss) [Line Items] |  |  |  |
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), before Reclassification and Tax | 81 | 276 | 268 |
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), before Reclassification, Tax | (18) | (62) | (60) |
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), before Reclassification, after Tax | 63 | 214 | 208 |
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, before Tax | (235) | (209) | (54) |
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, Tax | 53 | 47 | 12 |
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, after Tax | (182) | (162) | (42) |
Cash flow hedge | Designated as Hedging Instrument [Member] | Interest rate derivative contracts | Interest expense |  |  |  |
Derivative Instruments, Gain (Loss) [Line Items] |  |  |  |
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), before Reclassification and Tax | 0 | 0 | 0 |
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), before Reclassification, Tax | 0 | 0 | 0 |
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), before Reclassification, after Tax | 0 | 0 | 0 |
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, before Tax | 3 | 16 | 5 |
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, Tax | (1) | (4) | (1) |
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, after Tax | 2 | 13 | 4 |
Net investment hedge | Forward currency contracts | Interest expense |  |  |  |
Derivative Instruments, Gain (Loss) [Line Items] |  |  |  |
Derivative Used in Net Investment Hedge Gain (Loss) to be Reclassified During Next 12 Months, Net | 9 |  |  |
Net investment hedge | Designated as Hedging Instrument [Member] | Forward currency contracts |  |  |  |
Derivative Instruments, Gain (Loss) [Line Items] |  |  |  |
Derivative, Notional Amount | 333 | 365 |  |
Net investment hedge | Designated as Hedging Instrument [Member] | Forward currency contracts | Interest expense |  |  |  |
Derivative Instruments, Gain (Loss) [Line Items] |  |  |  |
Other Comprehensive Income (Loss), Net Investment Hedge, Gain (Loss), before Reclassification and Tax | 32 | 41 | 56 |
Other Comprehensive Income (Loss), Derivative, Excluded Component, Increase (Decrease), before Adjustments, Tax | (7) | (10) | (13) |
Other Comprehensive Income (Loss), Derivative, Excluded Component, Increase (Decrease), before Adjustments, after Tax | 25 | 32 | 43 |
Other Comprehensive Income (Loss), Net Investment Hedge, Gain (Loss), Reclassification, before Tax | (10) | (10) | (13) |
Other Comprehensive Income (Loss), Net Investment Hedge, Gain (Loss), after Reclassification, Tax | 2 | 2 | 3 |
Gain (Loss) on Derivative Used in Net Investment Hedge, after Tax | (8) | (8) | (10) |
Net investment hedge | Designated as Hedging Instrument [Member] | Foreign currency denominated in debt |  |  |  |
Derivative Instruments, Gain (Loss) [Line Items] |  |  |  |
Derivative, Notional Amount | 997 | 997 |  |
Net investment hedge | Designated as Hedging Instrument [Member] | Foreign currency denominated in debt | Interest expense |  |  |  |
Derivative Instruments, Gain (Loss) [Line Items] |  |  |  |
Other Comprehensive Income (Loss), Net Investment Hedge, Gain (Loss), before Reclassification and Tax | (34) | 61 | 82 |
Other Comprehensive Income (Loss), Derivative, Excluded Component, Increase (Decrease), before Adjustments, Tax | 8 | (14) | (19) |
Other Comprehensive Income (Loss), Derivative, Excluded Component, Increase (Decrease), before Adjustments, after Tax | (27) | 47 | 64 |
Other Comprehensive Income (Loss), Net Investment Hedge, Gain (Loss), Reclassification, before Tax | 0 | 0 | 0 |
Other Comprehensive Income (Loss), Net Investment Hedge, Gain (Loss), after Reclassification, Tax | 0 | 0 | 0 |
Gain (Loss) on Derivative Used in Net Investment Hedge, after Tax | $ 0 | $ 0 | $ 0 |

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