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REVENUE - Reconciliation of Gross Product Sales to Net Product Sales (Details) - USD ($)
$ in Millions
 3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Gross to Net Adjustments [Line Items]    
Total Revenues $ 11,865 $ 11,337
Total GTN adjustments (7,736) (6,240)
Prior period gross to net adjustment impacted by new accounting pronouncement 80 87
United States    
Gross to Net Adjustments [Line Items]    
Total Revenues 8,476 7,952
Total GTN adjustments (6,900) (5,500)
Gross product sales    
Gross to Net Adjustments [Line Items]    
Total Revenues 19,295 17,288
Net product sales    
Gross to Net Adjustments [Line Items]    
Total Revenues 11,559 11,048
Charge-backs and cash discounts    
Gross to Net Adjustments [Line Items]    
Total GTN adjustments (2,556) (2,091)
Medicaid and Medicare rebates    
Gross to Net Adjustments [Line Items]    
Total GTN adjustments (3,084) (2,482)
Other rebates, returns, discounts and adjustments    
Gross to Net Adjustments [Line Items]    
Total GTN adjustments $ (2,096) $ (1,667)