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Other Impairments, Restructuring and Other Items - Additional Information (Detail)
Positions in Millions, $ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2018
USD ($)
Positions
Sep. 30, 2017
USD ($)
Sep. 30, 2018
USD ($)
Positions
Sep. 30, 2017
USD ($)
Restructuring Cost and Reserve [Line Items]        
Restructuring plan period     2 years  
Recall and inventory reserves cost     $ 46  
Impairments of long-lived intangible assets $ 519 $ 355 1,246 $ 409
Impairments of property, plant and equipment 2   255  
Restructuring cost 88 72 442 300
Impairments $ 521 $ 408 $ 1,501 $ 564
Number of positions eliminated | Positions 9,100   9,100  
Restructuring Cost [Member]        
Restructuring Cost and Reserve [Line Items]        
Impairments of property, plant and equipment $ 2   $ 155  
India [Member]        
Restructuring Cost and Reserve [Line Items]        
Impairments     64  
Facility Exit Costs And Other Related Restructuring [Member]        
Restructuring Cost and Reserve [Line Items]        
Restructuring cost     155  
Facility Exit Costs And Other Related Restructuring [Member] | Israel [Member]        
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     42  
Identifiable product rights [Member] | United States [Member]        
Restructuring Cost and Reserve [Line Items]        
Impairments of long-lived intangible assets 185   328  
In Process Research and Development [Member]        
Restructuring Cost and Reserve [Line Items]        
Impairments of long-lived intangible assets $ 306   $ 867