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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)