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Document and Entity Information - shares
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Document Information [Line Items]    
Document Type 20-F  
Amendment Flag false  
Document Annual Report true  
Document Transition Report false  
Document Shell Company Report false  
Document Period End Date Dec. 31, 2022  
Document Fiscal Year Focus 2022  
Document Fiscal Period Focus FY  
Entity Registrant Name Novartis AG  
Entity Central Index Key 0001114448  
Current Fiscal Year End Date --12-31  
Entity Well-known Seasoned Issuer Yes  
Entity Current Reporting Status Yes  
Entity Voluntary Filers No  
Entity Filer Category Large Accelerated Filer  
Entity Common Stock, Shares Outstanding 2,119,609,057  
Entity Shell Company false  
Entity Emerging Growth Company false  
Entity Interactive Data Current Yes  
ICFR Auditor Attestation Flag true  
Auditor Name KPMG AG PricewaterhouseCoopers AG
Auditor Location Basel, Switzerland Basel, Switzerland
Auditor Firm ID 3240 1358
Entity File Number 1-15024  
Entity Incorporation, State or Country Code V8  
Entity Address, Address Line One Lichtstrasse 35  
Entity Address, City or Town Basel  
Entity Address, Postal Zip Code 4056  
Entity Address, Country CH  
Document Registration Statement false  
Document Accounting Standard International Financial Reporting Standards  
American Depositary Shares each representing 1 share    
Document Information [Line Items]    
Title of 12(b) Security American Depositary Shares each representing 1 share  
Trading Symbol NVS  
Security Exchange Name NYSE  
Ordinary shares, nominal value CHF 0.50 per share*    
Document Information [Line Items]    
Title of 12(b) Security Ordinary shares, nominal value CHF 0.50 per share  
Trading Symbol NOVN  
Security Exchange Name NYSE  
Business Contact [Member]    
Document Information [Line Items]    
Entity Address, Address Line One Lichtstrasse 35  
Entity Address, City or Town Basel  
Entity Address, Postal Zip Code 4056  
Entity Address, Country CH  
Contact Personnel Name Karen L. Hale  
Country Region 41  
City Area Code 61  
Local Phone Number 324-1111  
Contact Personnel Fax Number 324-7826