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Goodwill and Intangible Assets - Intangible Assets (Details) - USD ($)
$ in Millions
Dec. 31, 2020
Dec. 31, 2019
Finite-lived assets    
Gross  Carrying Amount $ 22,897 $ 18,018
Accumulated Amortization (6,660) (5,468)
Foreign Currency Translation Adjustment (1) (6)
Total 16,236 12,544
Total intangible assets    
Gross  Carrying Amount 39,787 19,265
Accumulated Amortization (6,660) (5,468)
Foreign Currency Translation Adjustment (1) (11)
Net Carrying Amount 33,126 13,786
Acquired IPR&D    
Indefinite-lived assets - IPR&D    
Gross  Carrying Amount 16,890 1,247
Foreign Currency Translation Adjustment 0 (5)
Net Carrying Amount 16,890 1,242
Intangible asset - sofosbuvir    
Finite-lived assets    
Gross  Carrying Amount 10,720 10,720
Accumulated Amortization (4,952) (4,253)
Foreign Currency Translation Adjustment 0 0
Total 5,768 6,467
Total intangible assets    
Accumulated Amortization (4,952) (4,253)
Intangible asset - axicabtagene ciloleucel (DLBCL)    
Finite-lived assets    
Gross  Carrying Amount 6,200 6,200
Accumulated Amortization (1,105) (761)
Foreign Currency Translation Adjustment 0 0
Total 5,095 5,439
Total intangible assets    
Accumulated Amortization (1,105) (761)
Intangible asset - Trodelvy for mTNBC    
Finite-lived assets    
Gross  Carrying Amount 4,600 0
Accumulated Amortization (63) 0
Foreign Currency Translation Adjustment 0 0
Total 4,537 0
Total intangible assets    
Accumulated Amortization (63) 0
Other    
Finite-lived assets    
Gross  Carrying Amount 1,377 1,098
Accumulated Amortization (540) (454)
Foreign Currency Translation Adjustment (1) (6)
Total 836 638
Total intangible assets    
Accumulated Amortization $ (540) $ (454)