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Equity-based participation plans for employees (Tables)
 12 Months Ended
Dec. 31, 2022
Statement [line items]  
Expense related to all equity-based participation and liabilities arising from equity-based payment transactions
(USD millions)
2022
2021
2020
Expense related to equity-based participation plans
1 048
979
958
Liabilities arising from equity-based payment transactions
235
253
269
Schedule of unvested restricted stock units roll forward
2022
2021

Number
of shares
in millions
Weighted
average fair
value at grant
date in USD

Number
of shares
in millions
Weighted
average fair
value at grant
date in USD
Annual Incentive
– RSU
0.2
74.7
0.2
87.5
– Restricted shares
0.1
85.0
0.1
97.0
Share savings plans
– RSU
0.4
75.0
0.4
86.9
– Shares
1.2
85.0
1.1
97.0
Novartis Employee Share Purchase Plan
0.8
82.8
Select North America (RSU)
4.9
74.5
4.3
86.9
Select outside North America
– RSU
2.0
75.1
1.8
86.9
– Restricted shares
0.7
85.0
0.6
97.0
Long-Term Performance Plan (PSU)
1.7
82.0
1.8
89.5
Other share awards
– RSU
0.5
76.3
0.6
78.4
– Restricted shares
0.1
86.9
– Shares
0.1
86.1
0.1
91.9
Select outside North America  
Statement [line items]  
Disclosure of number and weighted average remaining contractual life of outstanding share options
2022
2021



Options
(millions)
Weighted
average
exercise
price
(USD)



Options
(millions)
Weighted
average
exercise
price
(USD)
Options outstanding at January 1
1.7
63.6
2.6
62.0
Sold or exercised
-1.2
62.6
-0.9
58.9
Outstanding at December 31
0.5
66.0
1.7
63.6
Exercisable at December 31
0.5
66.0
1.7
63.6
Select North America  
Statement [line items]  
Disclosure of number and weighted average remaining contractual life of outstanding share options
2022
2021


ADR
options
(millions)
Weighted
average
exercise
price
(USD)


ADR
options
(millions)
Weighted
average
exercise
price
(USD)
Options outstanding at January 1
4.0
64.4
6.7
62.9
Sold or exercised
-2.9
63.7
-2.7
60.7
Outstanding at December 31
1.1
66.1
4.0
64.4
Exercisable at December 31
1.1
66.1
4.0
64.4