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Equity-based participation plans for employees (Details 4) Pure in Millions, $ / shares in Millions | 12 Months Ended
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Dec. 31, 2022 $ / shares | Dec. 31, 2021 $ / shares
Equity-Based Participation Annual Incentive RSU [member] |  |
Disclosure of terms and conditions of share-based payment arrangement [line items] |  |
Granted, number of shares | 0.2 | 0.2
Weighted average exercise price of other equity instruments granted in share-based payment arrangement | $ 74.7 | $ 87.5
Equity Based Participation Annual Incentive Restricted Shares [member] |  |
Disclosure of terms and conditions of share-based payment arrangement [line items] |  |
Granted, number of shares | 0.1 | 0.1
Weighted average exercise price of other equity instruments granted in share-based payment arrangement | $ 85.0 | $ 97.0
Equity Based Participation Share savings plans RSU [member] |  |
Disclosure of terms and conditions of share-based payment arrangement [line items] |  |
Granted, number of shares | 0.4 | 0.4
Weighted average exercise price of other equity instruments granted in share-based payment arrangement | $ 75.0 | $ 86.9
Equity Based Participation Share savings plans Shares [member] |  |
Disclosure of terms and conditions of share-based payment arrangement [line items] |  |
Granted, number of shares | 1.2 | 1.1
Weighted average exercise price of other equity instruments granted in share-based payment arrangement | $ 85.0 | $ 97.0
Equity-Based Participation Employee share purchase plan [member] |  |
Disclosure of terms and conditions of share-based payment arrangement [line items] |  |
Granted, number of shares | 0.8 |
Weighted average exercise price of other equity instruments granted in share-based payment arrangement | $ 82.8 |
Equity Based Participation Novartis Equity Plan Select North America RSU [member] |  |
Disclosure of terms and conditions of share-based payment arrangement [line items] |  |
Granted, number of shares | 4.9 | 4.3
Weighted average exercise price of other equity instruments granted in share-based payment arrangement | $ 74.5 | $ 86.9
Based Participation Novartis Equity Plan Select outside North America RSU [member] |  |
Disclosure of terms and conditions of share-based payment arrangement [line items] |  |
Granted, number of shares | 2.0 | 1.8
Weighted average exercise price of other equity instruments granted in share-based payment arrangement | $ 75.1 | $ 86.9
Equity Based Participation Novartis Equity Plan Select outside North America Restricted Shares [member] |  |
Disclosure of terms and conditions of share-based payment arrangement [line items] |  |
Granted, number of shares | 0.7 | 0.6
Weighted average exercise price of other equity instruments granted in share-based payment arrangement | $ 85.0 | $ 97.0
Equity Based Participation Long Term Performance PSU Plan [member] |  |
Disclosure of terms and conditions of share-based payment arrangement [line items] |  |
Granted, number of shares | 1.7 | 1.8
Weighted average exercise price of other equity instruments granted in share-based payment arrangement | $ 82.0 | $ 89.5
Equity Based Participation Other share awards RSU [member] |  |
Disclosure of terms and conditions of share-based payment arrangement [line items] |  |
Granted, number of shares | 0.5 | 0.6
Weighted average exercise price of other equity instruments granted in share-based payment arrangement | $ 76.3 | $ 78.4
Equity Based Participation Other share awards Restricted Shares [member] |  |
Disclosure of terms and conditions of share-based payment arrangement [line items] |  |
Granted, number of shares | 0.1 |
Weighted average exercise price of other equity instruments granted in share-based payment arrangement | $ 86.9 |
Equity Based Participation Other share awards Shares [member] |  |
Disclosure of terms and conditions of share-based payment arrangement [line items] |  |
Granted, number of shares | 0.1 | 0.1
Weighted average exercise price of other equity instruments granted in share-based payment arrangement | $ 86.1 | $ 91.9

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