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Legal Settlements and Loss Contingencies - Additional Information (Detail) € in Millions, $ in Millions | 3 Months Ended |  |
--- | --- | --- | ---
Mar. 31, 2025 USD ($) | Mar. 31, 2024 USD ($) | Dec. 31, 2024 USD ($) | Nov. 30, 2020 EUR (€)
Loss Contingencies [Line Items] |  |  |  |
Legal settlements and loss contingencies, expenses | $ 86 | $ 106 |  |
Accrued amount for legal settlements and loss contingencies | $ 4,877 |  | $ 4,881 | € 60.5
Opioid Litigation [Member] | United States [Member] |  |  |  |
Loss Contingencies [Line Items] |  |  |  |
Restructuring expense and income | Expenses in the first quarter of 2025 were mainly related to an update to the estimated settlement provision for the opioid cases (mainly the effect of the passage of time on the net present value of the discounted payments). | Expenses in the first quarter of 2024 were mainly related to an update to the estimated settlement provision of the opioid cases (mainly the effect of the passage of time on the net present value of the discounted payments), as well as an update to the estimated provision for the U.S. DOJ patient assistance program litigation. |  |

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