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Segmentation of key figures (Details 3) - USD ($)
$ in Millions
 12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Jan. 01, 2019
Dec. 31, 2018
Dec. 31, 2017
Disclosure of operating segments [line items]          
Total assets $ 132,059 $ 118,370      
Total liabilities (75,393) (62,819)      
Total equity 56,666 55,551   $ 78,692  
Net debt 24,481 15,938      
Net operating assets 81,147 71,489      
Property, plant and equipment 12,263 12,069      
Additions to property, plant and equipment 1,265 1,474      
Right-of-use assets 1,676 1,677 $ 1,554    
Additions to right-of-use assets 346 537      
Intangible assets and goodwill 66,808 55,311      
Additions to intangible assets and goodwill 1,425 767      
Investments in associated companies 9,632 8,644      
Additions to investment in associated companies 31 55      
Cash and cash equivalents, marketable securities, commodities, time deposits and derivative financial instruments 11,563 11,446      
Financial debts and derivative instruments 36,044 27,384     $ 28,532
Current income tax and deferred tax liabilities 9,880 8,061      
Operating segments [member] | Innovative Medicines          
Disclosure of operating segments [line items]          
Total assets 83,112 71,225      
Total liabilities (15,472) (15,332)      
Net operating assets 67,640 55,893      
Property, plant and equipment 9,863 9,632      
Additions to property, plant and equipment 926 1,114      
Right-of-use assets 1,489 1,487      
Additions to right-of-use assets 264 454      
Intangible assets and goodwill 56,839 46,336      
Additions to intangible assets and goodwill 1,235 647      
Investments in associated companies 194 128      
Additions to investment in associated companies 24 44      
Operating segments [member] | Sandoz          
Disclosure of operating segments [line items]          
Total assets 16,825 16,468      
Total liabilities (3,786) (3,804)      
Net operating assets 13,039 12,664      
Property, plant and equipment 1,849 1,888      
Additions to property, plant and equipment 229 217      
Right-of-use assets 133 136      
Additions to right-of-use assets 67 49      
Intangible assets and goodwill 9,817 8,892      
Additions to intangible assets and goodwill 105 68      
Investments in associated companies 8 7      
Operating segments [member] | Corporate          
Disclosure of operating segments [line items]          
Total assets 32,122 30,677      
Total liabilities (56,135) (43,683)      
Net debt 24,481 15,938      
Net operating assets 468 2,932      
Property, plant and equipment 551 549      
Additions to property, plant and equipment 110 143      
Right-of-use assets 54 54      
Additions to right-of-use assets 15 34      
Intangible assets and goodwill 152 83      
Additions to intangible assets and goodwill 85 52      
Investments in associated companies 9,430 8,509      
Additions to investment in associated companies 7 11      
Cash and cash equivalents, marketable securities, commodities, time deposits and derivative financial instruments 11,563 11,446      
Financial debts and derivative instruments 36,044 27,384      
Current income tax and deferred tax liabilities $ 9,880 $ 8,061