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Identifiable Intangible Assets - Summary of Identifiable Intangible Assets (Detail) - USD ($)
$ in Millions
Sep. 30, 2019
Dec. 31, 2018
Finite-Lived Intangible Assets [Line Items]    
Gross carrying amount net of impairment $ 22,177 $ 23,661
Accumulated amortization 10,299 9,656
Net carrying amount 11,878 14,005
Identifiable product rights [Member]    
Finite-Lived Intangible Assets [Line Items]    
Gross carrying amount net of impairment 19,698 20,361
Accumulated amortization 10,182 9,565
Net carrying amount 9,516 10,796
Trade Names [Member]    
Finite-Lived Intangible Assets [Line Items]    
Gross carrying amount net of impairment 596 606
Accumulated amortization 117 91
Net carrying amount 479 515
In Process Research and Development [Member]    
Finite-Lived Intangible Assets [Line Items]    
Gross carrying amount net of impairment 1,883 2,694
Net carrying amount $ 1,883 $ 2,694