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v3.24.3

REVENUE - Reconciliation of Gross Product Sales to Net Product Sales (Details) - USD ($) $ in Millions | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2024 | Sep. 30, 2023 | Sep. 30, 2024 | Sep. 30, 2023
Gross to Net Adjustments [Line Items] |  |  |  |
Total Revenues | $ 11,892 | $ 10,966 | $ 35,958 | $ 33,529
Total GTN adjustments | (9,740) | (8,003) | (26,331) | (21,437)
Prior period gross to net adjustment impacted by new accounting pronouncement | 42 | 18 | 103 | 116
United States |  |  |  |
Gross to Net Adjustments [Line Items] |  |  |  |
Total Revenues | 8,232 | 7,542 | 25,509 | 23,298
Total GTN adjustments | (8,900) | (7,300) | (23,900) | (19,200)
Gross product sales |  |  |  |
Gross to Net Adjustments [Line Items] |  |  |  |
Total Revenues | 21,223 | 18,648 | 61,298 | 54,047
Net product sales |  |  |  |
Gross to Net Adjustments [Line Items] |  |  |  |
Total Revenues | 11,483 | 10,645 | 34,967 | 32,610
Charge-backs and cash discounts |  |  |  |
Gross to Net Adjustments [Line Items] |  |  |  |
Total GTN adjustments | (2,967) | (2,373) | (8,366) | (6,743)
Medicaid and Medicare rebates |  |  |  |
Gross to Net Adjustments [Line Items] |  |  |  |
Total GTN adjustments | (4,577) | (3,730) | (11,525) | (9,355)
Other rebates, returns, discounts and adjustments |  |  |  |
Gross to Net Adjustments [Line Items] |  |  |  |
Total GTN adjustments | $ (2,196) | $ (1,900) | $ (6,440) | $ (5,339)

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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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