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REVENUE - Reconciliation of Gross Product Sales to Net Product Sales (Details) - USD ($)
$ in Millions
 3 Months Ended 6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Jun. 30, 2024
Jun. 30, 2023
Gross to Net Adjustments [Line Items]        
Total Revenues $ 12,201 $ 11,226 $ 24,066 $ 22,563
Total GTN adjustments (8,855) (7,194) (16,591) (13,434)
Prior period gross to net adjustment impacted by new accounting pronouncement (19) 11 61 98
United States        
Gross to Net Adjustments [Line Items]        
Total Revenues 8,801 7,804 17,277 15,756
Total GTN adjustments (8,000) (6,400) (14,900) (11,900)
Gross product sales        
Gross to Net Adjustments [Line Items]        
Total Revenues 20,780 18,111 40,075 35,399
Net product sales        
Gross to Net Adjustments [Line Items]        
Total Revenues 11,925 10,917 23,484 21,965
Charge-backs and cash discounts        
Gross to Net Adjustments [Line Items]        
Total GTN adjustments (2,843) (2,279) (5,399) (4,370)
Medicaid and Medicare rebates        
Gross to Net Adjustments [Line Items]        
Total GTN adjustments (3,864) (3,143) (6,948) (5,625)
Other rebates, returns, discounts and adjustments        
Gross to Net Adjustments [Line Items]        
Total GTN adjustments $ (2,148) $ (1,772) $ (4,244) $ (3,439)