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REVENUE RECOGNITION - Variable Consideration Provisions (Details) - USD ($) $ in Millions | 9 Months Ended
--- | ---
Sep. 30, 2024 | Sep. 30, 2023
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward] |  |
Reserve beginning balance | $ 1,939 | $ 1,910
Current period provisions | 5,005 | 4,335
Payments and credits | (4,794) | (4,298)
Reserve ending balance | 2,150 | 1,947
Discounts and Allowances |  |
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward] |  |
Reserve beginning balance | 191 | 188
Current period provisions | 500 | 457
Payments and credits | (501) | (462)
Reserve ending balance | 190 | 183
Returns |  |
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward] |  |
Reserve beginning balance | 380 | 427
Current period provisions | 115 | 103
Payments and credits | (122) | (147)
Reserve ending balance | 373 | 383
Rebates |  |
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward] |  |
Reserve beginning balance | 1,108 | 1,023
Current period provisions | 2,699 | 2,071
Payments and credits | (2,459) | (2,017)
Reserve ending balance | 1,348 | 1,077
Chargebacks |  |
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward] |  |
Reserve beginning balance | 216 | 196
Current period provisions | 1,465 | 1,514
Payments and credits | (1,516) | (1,501)
Reserve ending balance | 165 | 209
Distribution Fees |  |
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward] |  |
Reserve beginning balance | 44 | 76
Current period provisions | 226 | 190
Payments and credits | (196) | (171)
Reserve ending balance | $ 74 | $ 95

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- Definition Amount of valuation and qualifying accounts and reserves. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Topic 235 -SubTopic 10 -Name Accounting Standards Codification -Section S99 -Paragraph 4 -Subparagraph (SX 210.12-09(Column B)) -Publisher FASB -URI https://asc.fasb.org/1943274/2147480678/235-10-S99-4 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Topic 235 -SubTopic 10 -Name Accounting Standards Codification -Section S99 -Paragraph 4 -Subparagraph (SX 210.12-09(Column E)) -Publisher FASB -URI https://asc.fasb.org/1943274/2147480678/235-10-S99-4 + Details
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