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Acquisitions - Purchase price allocation for business combinations (Details) - USD ($)
$ in Millions
 13 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Nov. 21, 2022
Disclosure of detailed information about business combination [line items]      
Goodwill $ 8,926 $ 8,926  
Business combinations      
Disclosure of detailed information about business combination [line items]      
Property, plant and equipment 27   $ 27
Right-of-use assets 29   29
Currently marketed products 850   850
Acquired in-process research & development 175   175
Deferred tax assets 189   189
Inventories 49   49
Trade receivables 70   70
Short-term investments 79   79
Cash and cash equivalents 78   78
Other assets 15   15
Lease liabilities (27)   (27)
Deferred tax liabilities (255)   (255)
Provisions and other non-current and current liabilities (235)   (235)
Current income tax liabilities (2)   (46)
Trade payables (3)   (3)
Financial debts (316)   (316)
Net identifiable assets acquired 723   679
Goodwill 21   65
Consideration transferred 744   744
Acquired liquidity (78)   (78)
Net assets recognized as a result of business combinations 666   $ 666
Measurement period adjustments      
Current income tax liabilities 44    
Net identifiable assets acquired 44    
Goodwill (44)    
Total purchase consideration $ 0