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Revenue from Contracts with Customers - Schedule of Sales Reserves and Allowances (Detail) - USD ($) $ in Millions | 12 Months Ended
--- | ---
Dec. 31, 2024 | Dec. 31, 2023
Revenue Recognition [Line Items] |  |
Balance at beginning of period | $ 3,596 | $ 3,817
Provisions related to sales made in current year period | 14,194 | 12,975
Provisions related to sales made in prior periods | (9) | (101)
Credits and payments | (13,970) | (13,125)
Translation differences | (77) | 30
Balance at end of period | 3,734 | 3,596
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 | 390 | 354
Provisions related to sales made in prior periods | 0 | 0
Credits and payments | (395) | (360)
Translation differences | 0 | 0
Balance at end of period | 56 | 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 | 4,640 | 4,015
Provisions related to sales made in prior periods | 5 | (31)
Credits and payments | (4,531) | (3,974)
Translation differences | (43) | 18
Balance at end of period | 1,674 | 1,603
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 | 787 | 654
Provisions related to sales made in prior periods | 22 | (33)
Credits and payments | (781) | (748)
Translation differences | (7) | 4
Balance at end of period | 561 | 540
Chargebacks [Member] |  |
Revenue Recognition [Line Items] |  |
Balance at beginning of period | 859 | 991
Provisions related to sales made in current year period | 7,952 | 7,579
Provisions related to sales made in prior periods | (11) | (54)
Credits and payments | (7,851) | (7,662)
Translation differences | (13) | 5
Balance at end of period | 936 | 859
Returns [Member] |  |
Revenue Recognition [Line Items] |  |
Balance at beginning of period | 436 | 455
Provisions related to sales made in current year period | 276 | 264
Provisions related to sales made in prior periods | (22) | 17
Credits and payments | (286) | (304)
Translation differences | (5) | 4
Balance at end of period | 399 | 436
Other [Member] |  |
Revenue Recognition [Line Items] |  |
Balance at beginning of period | 97 | 66
Provisions related to sales made in current year period | 149 | 109
Provisions related to sales made in prior periods | (3) | 0
Credits and payments | (126) | (77)
Translation differences | (9) | (1)
Balance at end of period | 108 | 97
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 | 13,804 | 12,621
Provisions related to sales made in prior periods | (9) | (101)
Credits and payments | (13,575) | (12,765)
Translation differences | (77) | 30
Balance at end of period | $ 3,678 | $ 3,535

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