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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Millions
 9 Months Ended
Sep. 30, 2025
Sep. 30, 2024
Cash Flows From Operating Activities    
Net income (loss) $ 223 $ (170)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:    
Depreciation and amortization of intangible assets 918 960
Amortization and write-off of debt premiums, discounts and issuance costs 72 41
Asset impairments 1 6
Acquisition-related contingent consideration (72) 19
Allowances for losses on trade receivable and inventories 48 43
Deferred income taxes (75) (104)
Net gain on sale of assets (6) (10)
Adjustments to accrued legal settlements 40 215
Payments of accrued legal settlements (198) (222)
Share-based compensation 132 107
Gain excluded from hedge effectiveness (8) (10)
Gain on extinguishment of debt (181) (23)
Payments of contingent consideration adjustments, including accretion (6) (7)
Amortization of interim contract and inventory step-up resulting from acquisitions 62 61
Foreign exchange and other (18) (33)
Changes in operating assets and liabilities:    
Trade receivables (199) (112)
Inventories (7) (218)
Prepaid expenses and other current assets (29) 120
Accounts payable, accrued and other liabilities 208 333
Net cash provided by operating activities 905 996
Cash Flows From Investing Activities    
Acquisitions and other investments (17) (45)
Purchases of property, plant and equipment (305) (231)
Acquisition of intangible assets and other assets (10) (2)
Purchases of marketable securities (6) (7)
Proceeds from sale of marketable securities 6 11
Proceeds from sale of assets and businesses, net of costs to sell 7 7
Interest settlements from cross-currency swaps 12 13
Net cash used in investing activities (313) (254)
Cash Flows From Financing Activities    
Issuance of long-term debt, net of discounts 10,421 155
Repayments of long-term debt (10,839) (1,049)
Payments of employee withholding taxes related to share-based awards (24) (23)
Payments of acquisition-related contingent consideration (18) (20)
Payments of financing costs (38) (7)
Other (9) (9)
Net cash used in financing activities (507) (953)
Effect of exchange rate changes on cash, cash equivalents and restricted cash 54 (1)
Net increase (decrease) in cash, cash equivalents and restricted cash 139 (212)
Cash, cash equivalents and restricted cash, beginning of period 1,201 962
Cash, cash equivalents and restricted cash, end of period 1,340 750
Cash and cash equivalents 1,308 719
Restricted cash 32 31
Cash, cash equivalents and restricted cash, end of period $ 1,340 $ 750