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Identifiable Intangible Assets - Summary of Identifiable Intangible Assets (Detail) - USD ($)
$ in Millions
Dec. 31, 2018
Dec. 31, 2017
Finite-Lived Intangible Assets [Line Items]    
Gross carrying amount net of impairment $ 23,661 $ 25,971
Accumulated amortization 9,656 8,331
Net carrying amount 14,005 17,640
Identifiable product rights [Member]    
Finite-Lived Intangible Assets [Line Items]    
Gross carrying amount net of impairment 20,361 21,011
Accumulated amortization 9,565 8,276
Net carrying amount 10,796 12,735
Trade Names [Member]    
Finite-Lived Intangible Assets [Line Items]    
Gross carrying amount net of impairment 606 617
Accumulated amortization 91 55
Net carrying amount 515 562
In Process Research and Development [Member]    
Finite-Lived Intangible Assets [Line Items]    
Gross carrying amount net of impairment 2,694 4,343
Net carrying amount $ 2,694 $ 4,343