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Revenue from Contracts with Customers - Schedule of Sales Reserves and Allowances (Detail) - USD ($) $ in Millions | 12 Months Ended
--- | ---
Dec. 31, 2022 | Dec. 31, 2021
Revenue Recognition [Line Items] |  |
Balance at beginning of period | $ 3,817 | $ 4,309
Provisions related to sales made in current year period | 12,975 | 13,278
Provisions related to sales made in prior periods | (101) | (202)
Credits and payments | (13,125) | (13,513)
Translation differences | 30 | (55)
Balance at end of period | 3,596 | 3,817
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 | 354 | 363
Provisions related to sales made in prior periods | 0 | 0
Credits and payments | (360) | (364)
Translation differences | 0 | 0
Balance at end of period | 61 | 67
Rebates [Member] |  |
Revenue Recognition [Line Items] |  |
Balance at beginning of period | 1,575 | 1,655
Provisions related to sales made in current year period | 4,015 | 3,823
Provisions related to sales made in prior periods | (31) | (69)
Credits and payments | (3,974) | (3,798)
Translation differences | 18 | (36)
Balance at end of period | 1,603 | 1,575
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 | 654 | 871
Provisions related to sales made in prior periods | (33) | (35)
Credits and payments | (748) | (1,023)
Translation differences | 4 | (4)
Balance at end of period | 540 | 663
Chargebacks [Member] |  |
Revenue Recognition [Line Items] |  |
Balance at beginning of period | 991 | 1,085
Provisions related to sales made in current year period | 7,579 | 7,819
Provisions related to sales made in prior periods | (54) | (44)
Credits and payments | (7,662) | (7,861)
Translation differences | 5 | (8)
Balance at end of period | 859 | 991
Returns [Member] |  |
Revenue Recognition [Line Items] |  |
Balance at beginning of period | 455 | 535
Provisions related to sales made in current year period | 264 | 317
Provisions related to sales made in prior periods | 17 | (3)
Credits and payments | (304) | (390)
Translation differences | 4 | (4)
Balance at end of period | 436 | 455
Other [Member] |  |
Revenue Recognition [Line Items] |  |
Balance at beginning of period | 66 | 112
Provisions related to sales made in current year period | 109 | 85
Provisions related to sales made in prior periods | 0 | (51)
Credits and payments | (77) | (77)
Translation differences | (1) | (3)
Balance at end of period | 97 | 66
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 | 12,621 | 12,915
Provisions related to sales made in prior periods | (101) | (202)
Credits and payments | (12,765) | (13,149)
Translation differences | 30 | (55)
Balance at end of period | $ 3,535 | $ 3,750

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