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v3.23.3

REVENUE - Reconciliation of Gross Product Sales to Net Product Sales (Details) - USD ($) $ in Millions | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2023 | Sep. 30, 2022 | Sep. 30, 2023 | Sep. 30, 2022
Gross to Net Adjustments [Line Items] |  |  |  |
Total revenues | $ 10,966 | $ 11,218 | $ 33,529 | $ 34,753
Total GTN adjustments | (8,003) | (6,793) | (21,437) | (17,949)
Prior period gross to net adjustment impacted by new accounting pronouncement | 18 | 10 | 116 | 207
Gross product sales |  |  |  |
Gross to Net Adjustments [Line Items] |  |  |  |
Total revenues | 18,648 | 17,606 | 54,047 | 51,555
Net product sales |  |  |  |
Gross to Net Adjustments [Line Items] |  |  |  |
Total revenues | 10,645 | 10,813 | 32,610 | 33,606
Charge-backs and cash discounts |  |  |  |
Gross to Net Adjustments [Line Items] |  |  |  |
Total GTN adjustments | (2,373) | (1,907) | (6,743) | (5,420)
Medicaid and Medicare rebates |  |  |  |
Gross to Net Adjustments [Line Items] |  |  |  |
Total GTN adjustments | (3,730) | (3,295) | (9,355) | (8,003)
Other rebates, returns, discounts and adjustments |  |  |  |
Gross to Net Adjustments [Line Items] |  |  |  |
Total GTN adjustments | $ (1,900) | $ (1,591) | $ (5,339) | $ (4,526)

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- Definition Amount of revenue recognized from goods sold, services rendered, insurance premiums, or other activities that constitute an earning process. 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