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Revenue from Contracts with Customers - Schedule of Sales Reserves and Allowances (Detail) - USD ($) $ in Millions | 9 Months Ended
--- | ---
Sep. 30, 2024 | Sep. 30, 2023
Revenue Recognition [Line Items] |  |
Balance at beginning of period | $ 3,596 | $ 3,817
Provisions related to sales made in current year period | 10,571 | 9,612
Provisions related to sales made in prior periods | 1 | (52)
Credits and payments | (10,324) | (9,946)
Translation differences | 4 | (19)
Balance at end of period | 3,848 | 3,412
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 | 294 | 262
Provisions related to sales made in prior periods | 0 | 0
Credits and payments | (292) | (268)
Translation differences | 0 | 0
Balance at end of period | 63 | 61
Rebates [Member] |  |
Revenue Recognition [Line Items] |  |
Balance at beginning of period | 1,603 | 1,575
Provisions related to sales made in current year period | 3,436 | 2,968
Provisions related to sales made in prior periods | 16 | (22)
Credits and payments | (3,269) | (2,989)
Translation differences | 1 | (8)
Balance at end of period | 1,787 | 1,524
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 | 579 | 468
Provisions related to sales made in prior periods | 26 | (33)
Credits and payments | (556) | (617)
Translation differences | 3 | (2)
Balance at end of period | 592 | 479
Chargebacks [Member] |  |
Revenue Recognition [Line Items] |  |
Balance at beginning of period | 859 | 991
Provisions related to sales made in current year period | 5,925 | 5,636
Provisions related to sales made in prior periods | (11) | (21)
Credits and payments | (5,877) | (5,768)
Translation differences | 1 | (3)
Balance at end of period | 897 | 835
Returns [Member] |  |
Revenue Recognition [Line Items] |  |
Balance at beginning of period | 436 | 455
Provisions related to sales made in current year period | 191 | 205
Provisions related to sales made in prior periods | (28) | 24
Credits and payments | (209) | (251)
Translation differences | (1) | 0
Balance at end of period | 389 | 433
Other [Member] |  |
Revenue Recognition [Line Items] |  |
Balance at beginning of period | 97 | 66
Provisions related to sales made in current year period | 146 | 73
Provisions related to sales made in prior periods | (2) | 0
Credits and payments | (121) | (53)
Translation differences | 0 | (6)
Balance at end of period | 120 | 80
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 | 10,277 | 9,350
Provisions related to sales made in prior periods | 1 | (52)
Credits and payments | (10,032) | (9,678)
Translation differences | 4 | (19)
Balance at end of period | $ 3,785 | $ 3,351

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