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Revenue from Contracts with Customers - Schedule of Sales Reserves and Allowances (Detail) - USD ($) $ in Millions | 3 Months Ended
--- | ---
Mar. 31, 2024 | Mar. 31, 2023
Revenue Recognition [Line Items] |  |
Balance at beginning of period | $ 3,596 | $ 3,817
Provisions related to sales made in current year period | 3,447 | 3,178
Provisions related to sales made in prior periods | 12 | (47)
Credits and payments | (3,364) | (3,589)
Translation differences | (30) | 13
Balance at end of period | 3,661 | 3,372
Reserves Included in Accounts Receivable, net [Member] |  |
Revenue Recognition [Line Items] |  |
Balance at beginning of period | 61 | 67
Provisions related to sales made in current year period | 93 | 80
Provisions related to sales made in prior periods |  | 0
Credits and payments | (87) | (84)
Translation differences |  | 0
Balance at end of period | 67 | 63
Rebates [Member] |  |
Revenue Recognition [Line Items] |  |
Balance at beginning of period | 1,603 | 1,575
Provisions related to sales made in current year period | 1,118 | 1,003
Provisions related to sales made in prior periods | 10 | (7)
Credits and payments | (1,086) | (1,127)
Translation differences | (17) | 8
Balance at end of period | 1,628 | 1,452
Medicaid and other governmental allowances [Member] |  |
Revenue Recognition [Line Items] |  |
Balance at beginning of period | 540 | 663
Provisions related to sales made in current year period | 181 | 142
Provisions related to sales made in prior periods | 20 | (36)
Credits and payments | (171) | (289)
Translation differences | (3) | 2
Balance at end of period | 567 | 482
Chargebacks [Member] |  |
Revenue Recognition [Line Items] |  |
Balance at beginning of period | 859 | 991
Provisions related to sales made in current year period | 1,942 | 1,855
Provisions related to sales made in prior periods | (11) | (9)
Credits and payments | (1,935) | (1,973)
Translation differences | (5) | 2
Balance at end of period | 850 | 866
Returns [Member] |  |
Revenue Recognition [Line Items] |  |
Balance at beginning of period | 436 | 455
Provisions related to sales made in current year period | 73 | 73
Provisions related to sales made in prior periods | (6) | 6
Credits and payments | (67) | (95)
Translation differences | (3) | 1
Balance at end of period | 433 | 440
Other [Member] |  |
Revenue Recognition [Line Items] |  |
Balance at beginning of period | 97 | 66
Provisions related to sales made in current year period | 40 | 25
Provisions related to sales made in prior periods | (1) | (1)
Credits and payments | (18) | (21)
Translation differences | (2) |
Balance at end of period | 116 | 69
Total reserves included in sales reserves and allowances [Member] |  |
Revenue Recognition [Line Items] |  |
Balance at beginning of period | 3,535 | 3,750
Provisions related to sales made in current year period | 3,354 | 3,098
Provisions related to sales made in prior periods | 12 | (47)
Credits and payments | (3,277) | (3,505)
Translation differences | (30) | 13
Balance at end of period | $ 3,594 | $ 3,309

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