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Income Tax Expense Reconciliation (Detail) - USD ($) $ in Millions | 12 Months Ended
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Dec. 31, 2017 | Dec. 31, 2016 | Dec. 31, 2015
Income Tax Expense Reconciliation |  |  |
Income tax expense at U.S. statutory rate | $ 424 | $ 1,734 | $ 150
Retained shares tax free exchange gains |  | (1,587) |
Tax incentives | (140) | (126) | (133)
State and local taxes | (6) | 1 | (13)
Foreign tax expense (benefit) | (80) | 5 | 11
Valuation allowances | 4 | 3 | 5
Contingent tax matters | (1) | (48) | 9
Branded Prescription Drug Fee |  | 1 | 1
Deferred tax charge on intangible intra-group transfers | 14 | 13 | 14
R&D tax credit | (4) | (2) | (4)
Puerto Rico excise tax credit | (2) | (5) | (9)
Deferred Tax Revaluation due to 2017 Tax Act | (283) |  |
Transition Tax due to 2017 Tax Act | 529 |  |
U.S. Valuation Allowance due to 2017 Tax Act | 339 |  |
Stock options windfall tax benefits | (56) |  |
Foreign tax credits generated | (246) |  |
Other factors | 1 | (1) | 4
Income tax expense (benefit) | $ 493 | $ (12) | $ 35

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