XML 51 R42.htm IDEA: XBRL DOCUMENT v3.23.3
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