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Legal Settlements and Loss Contingencies - Additional Information (Detail) - USD ($)
$ in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2019
Jun. 30, 2018
Jun. 30, 2019
Jun. 30, 2018
Dec. 31, 2018
Loss Contingencies [Line Items]          
Legal settlements and loss contingencies, expenses $ 646 $ 20 $ 703 $ 1,258  
Accrued amount for legal settlements and loss contingencies 1,149   1,149   $ 562
opioid litigation [Member]          
Loss Contingencies [Line Items]          
Legal settlements and loss contingencies, expenses $ 85   $ 85