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Revenue from Contracts with Customers - Schedule of Sales Reserves and Allowances (Detail) - USD ($) $ in Millions | 9 Months Ended
--- | ---
Sep. 30, 2023 | Sep. 30, 2022
Revenue Recognition [Line Items] |  |
Balance at beginning of period | $ 3,817 | $ 4,309
Provisions related to sales made in current year period | 9,612 | 9,886
Provisions related to sales made in prior periods | (52) | (158)
Credits and payments | (9,946) | (10,231)
Translation differences | (19) | (106)
Balance at end of period | 3,412 | 3,700
Reserves Included in Accounts Receivable, net [Member] |  |
Revenue Recognition [Line Items] |  |
Balance at beginning of period | 67 | 68
Provisions related to sales made in current year period | 262 | 269
Provisions related to sales made in prior periods | 0 | 0
Credits and payments | (268) | (285)
Translation differences | 0 | 0
Balance at end of period | 61 | 52
Rebates [Member] |  |
Revenue Recognition [Line Items] |  |
Balance at beginning of period | 1,575 | 1,655
Provisions related to sales made in current year period | 2,968 | 2,832
Provisions related to sales made in prior periods | (22) | (103)
Credits and payments | (2,989) | (2,845)
Translation differences | (8) | (66)
Balance at end of period | 1,524 | 1,473
Medicaid and other governmental allowances [Member] |  |
Revenue Recognition [Line Items] |  |
Balance at beginning of period | 663 | 854
Provisions related to sales made in current year period | 468 | 684
Provisions related to sales made in prior periods | (33) | (15)
Credits and payments | (617) | (762)
Translation differences | (2) | (11)
Balance at end of period | 479 | 750
Chargebacks [Member] |  |
Revenue Recognition [Line Items] |  |
Balance at beginning of period | 991 | 1,085
Provisions related to sales made in current year period | 5,636 | 5,656
Provisions related to sales made in prior periods | (21) | (28)
Credits and payments | (5,768) | (5,826)
Translation differences | (3) | (17)
Balance at end of period | 835 | 870
Returns [Member] |  |
Revenue Recognition [Line Items] |  |
Balance at beginning of period | 455 | 535
Provisions related to sales made in current year period | 205 | 219
Provisions related to sales made in prior periods | 24 | (9)
Credits and payments | (251) | (300)
Translation differences | 0 | (8)
Balance at end of period | 433 | 437
Other [Member] |  |
Revenue Recognition [Line Items] |  |
Balance at beginning of period | 66 | 112
Provisions related to sales made in current year period | 73 | 226
Provisions related to sales made in prior periods | 0 | (3)
Credits and payments | (53) | (213)
Translation differences | (6) | (4)
Balance at end of period | 80 | 118
Total reserves included in sales reserves and allowances [Member] |  |
Revenue Recognition [Line Items] |  |
Balance at beginning of period | 3,750 | 4,241
Provisions related to sales made in current year period | 9,350 | 9,617
Provisions related to sales made in prior periods | (52) | (158)
Credits and payments | (9,678) | (9,946)
Translation differences | (19) | (106)
Balance at end of period | $ 3,351 | $ 3,648

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