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Consolidated statements of comprehensive income - USD ($)
$ in Millions
 12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Statement [line items]      
Net income $ 8,071 $ 11,737 $ 12,614
Other comprehensive income to be eventually recycled into the consolidated income statement      
Fair value adjustments on debt securities, net of taxes   1  
Fair value adjustments on deferred cash flow hedges, net of taxes   1 12
Total fair value adjustments on financial instruments, net of taxes   2 12
Associated companies' movements in comprehensive income (56) (94) (482)
Net investment hedge (201) 44 95
Currency translation effects 3,194 352 315
Total of items to eventually recycle 2,937 304 (60)
Other comprehensive income never to be recycled into the consolidated income statement      
Actuarial gains/losses from defined benefit plans, net of taxes 143 (467) (359)
Fair value adjustments on equity securities, net of taxes 250 (47) 13
Total of items never to be recycled 393 (514) (346)
Total comprehensive income 11,401 11,527 12,208
Attributable to      
Shareholders of Novartis AG 11,403 11,525 12,210
Comprehensive income, attributable to non-controlling interests (2) 2 (2)
Continuing operations      
Attributable to      
Shareholders of Novartis AG $ 11,403 6,948 12,417
Discontinued operations      
Attributable to      
Shareholders of Novartis AG   $ 4,577 $ (207)