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Intangible Assets - Components of Intangible Assets (Detail) - USD ($)
$ in Millions
Dec. 31, 2022
Sep. 30, 2022
Finite And Indefinite Lived Intangible Assets [Line Items]    
Gross Carrying Amount $ 21,059 $ 20,987
Accumulated Amortization (9,116) (8,723)
Net Carrying Amount 11,943 12,264
Unamortized intangible assets 46 46
Acquired in-process research and development    
Finite And Indefinite Lived Intangible Assets [Line Items]    
Unamortized intangible assets 44 44
Trademarks    
Finite And Indefinite Lived Intangible Assets [Line Items]    
Unamortized intangible assets 2 2
Developed technology    
Finite And Indefinite Lived Intangible Assets [Line Items]    
Gross Carrying Amount 15,136 15,087
Accumulated Amortization (6,262) (5,979)
Net Carrying Amount 8,874 9,108
Customer relationships    
Finite And Indefinite Lived Intangible Assets [Line Items]    
Gross Carrying Amount 4,859 4,853
Accumulated Amortization (2,260) (2,170)
Net Carrying Amount 2,599 2,683
Product rights    
Finite And Indefinite Lived Intangible Assets [Line Items]    
Gross Carrying Amount 104 97
Accumulated Amortization (79) (72)
Net Carrying Amount 25 25
Trademarks    
Finite And Indefinite Lived Intangible Assets [Line Items]    
Gross Carrying Amount 408 408
Accumulated Amortization (160) (155)
Net Carrying Amount 248 253
Patents and other    
Finite And Indefinite Lived Intangible Assets [Line Items]    
Gross Carrying Amount 552 542
Accumulated Amortization (355) (346)
Net Carrying Amount $ 197 $ 196