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Other Impairments, Restructuring and Other Items - Additional Information (Detail) $ in Millions | 3 Months Ended | 27 Months Ended
--- | --- | ---
Mar. 31, 2018 USD ($) | Mar. 31, 2017 USD ($) | Mar. 31, 2018 Position
Restructuring Cost and Reserve [Line Items] |  |  |
Restructuring plan period | 2 years |  |
Impairments of long-lived intangible assets | $ 206 |  |
Impairments of property, plant and equipment | 226 |  |
Restructuring cost | 247 | $ 130 |
Impairments | 432 | $ 11 |
Expected reduction in positions | Position |  |  | 6,200
INDIA |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |
Impairments | 56 |  |
Facility Exit Costs And Other Related Restructuring [Member] |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |
Restructuring cost | 147 |  |
Facility Exit Costs And Other Related Restructuring [Member] | ISRAEL |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |
Restructuring cost | 113 |  |
Headquarters and Distribution Sites Consolidation [Member] | United States [Member] |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |
Restructuring cost | 34 |  |
In Process Research and Development [Member] |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |
Impairments of long-lived intangible assets | 117 |  |
Identifiable product rights [Member] |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |
Impairments of long-lived intangible assets | $ 76 |  |

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