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Revenue from Contracts with Customers - Schedule of Sales Reserves and Allowances (Detail) - USD ($) $ in Millions | 6 Months Ended
--- | ---
Jun. 30, 2024 | Jun. 30, 2023
Revenue Recognition [Line Items] |  |
Balance at beginning of period | $ 3,596 | $ 3,817
Provisions related to sales made in current year period | 7,084 | 6,516
Provisions related to sales made in prior periods | 9 | (47)
Credits and payments | (6,884) | (6,804)
Translation differences | (35) | 15
Balance at end of period | 3,770 | 3,497
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 | 194 | 175
Provisions related to sales made in prior periods | 0 | 0
Credits and payments | (184) | (178)
Translation differences | 0 | 0
Balance at end of period | 70 | 64
Rebates [Member] |  |
Revenue Recognition [Line Items] |  |
Balance at beginning of period | 1,603 | 1,575
Provisions related to sales made in current year period | 2,325 | 2,037
Provisions related to sales made in prior periods | 12 | (17)
Credits and payments | (2,183) | (2,068)
Translation differences | (19) | 11
Balance at end of period | 1,738 | 1,538
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 | 382 | 319
Provisions related to sales made in prior periods | 26 | (26)
Credits and payments | (376) | (431)
Translation differences | (4) | 2
Balance at end of period | 568 | 527
Chargebacks [Member] |  |
Revenue Recognition [Line Items] |  |
Balance at beginning of period | 859 | 991
Provisions related to sales made in current year period | 3,950 | 3,788
Provisions related to sales made in prior periods | (11) | (17)
Credits and payments | (3,923) | (3,908)
Translation differences | (6) | 2
Balance at end of period | 869 | 856
Returns [Member] |  |
Revenue Recognition [Line Items] |  |
Balance at beginning of period | 436 | 455
Provisions related to sales made in current year period | 146 | 141
Provisions related to sales made in prior periods | (17) | 16
Credits and payments | (129) | (181)
Translation differences | (4) | 2
Balance at end of period | 432 | 433
Other [Member] |  |
Revenue Recognition [Line Items] |  |
Balance at beginning of period | 97 | 66
Provisions related to sales made in current year period | 81 | 56
Provisions related to sales made in prior periods | (1) | (3)
Credits and payments | (82) | (38)
Translation differences | (2) | (2)
Balance at end of period | 93 | 79
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 | 6,896 | 6,341
Provisions related to sales made in prior periods | 9 | (47)
Credits and payments | (6,705) | (6,626)
Translation differences | (35) | 15
Balance at end of period | $ 3,700 | $ 3,433

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