v3.25.4
Loans Payable, Long-Term Debt and Leases - Narrative (Details)
$ in Millions
1 Months Ended 12 Months Ended
Jan. 31, 2026
USD ($)
Oct. 31, 2025
USD ($)
Dec. 31, 2025
USD ($)
Dec. 31, 2024
USD ($)
Dec. 31, 2023
USD ($)
Feb. 28, 2026
USD ($)
Sep. 30, 2025
USD ($)
May 31, 2024
EUR (€)
Debt Instrument [Line Items]                
Long-term debt, current maturities     $ 2,300 $ 2,500        
Loans payable and current portion of long-term debt     2,589 $ 2,649        
Long-term debt, maturities, repayments of principal in 2026     2,600          
Long-term debt, maturities, repayments of principal in 2027     2,700          
Long-term debt, maturities, repayments of principal in 2028     2,100          
Long-term debt, maturities, repayments of principal in 2029     3,000          
Long-term debt, maturities, repayments of principal in 2030     2,700          
Long-term debt, interest payments in 2026     1,800          
Long-term debt, interest payments in 2027     1,800          
Long-term debt, interest payments in 2028     1,700          
Long-term debt, interest payments in 2029     1,600          
Long-term debt, interest payments in 2030     1,500          
Available borrowing capacity under credit facility     $ 6,000          
Operating lease, weighted average remaining lease term     7 years 6 years        
Operating lease, cost     $ 423 $ 348 $ 339      
Operating lease, payments     349 357 347      
Right-of-use asset obtained in exchange for operating lease liability     162 $ 47 $ 122      
Lessee, operating lease, lease not yet commenced, amount     $ 400          
Subsequent Event | Forecast                
Debt Instrument [Line Items]                
Lessee, operating lease, lease not yet commenced, amount           $ 300    
Lessee, operating lease, term of contract           20 years    
Cidara Therapeutics, Inc. | Subsequent Event                
Debt Instrument [Line Items]                
Consideration transferred, asset acquisition $ 9,200              
Verona Pharma plc                
Debt Instrument [Line Items]                
Consideration transferred, asset acquisition   $ 10,400            
Buildings                
Debt Instrument [Line Items]                
Operating lease, weighted average remaining lease term     7 years          
Lessee, operating lease, renewal term     5 years          
Vehicles                
Debt Instrument [Line Items]                
Operating lease, weighted average remaining lease term     4 years          
Senior Notes                
Debt Instrument [Line Items]                
Face amount of debt     $ 8,000       $ 6,000 € 3,400,000,000
Other Variable Rate Debt                
Debt Instrument [Line Items]                
Effective interest rate     4.18% 5.02%        
6.3% Debentures Due 2026                
Debt Instrument [Line Items]                
Stated interest rate     6.30%          
Floating Rate Notes Due 2029                
Debt Instrument [Line Items]                
Stated interest rate     4.35%          
Floating Rate Notes Due 2029 | Senior Notes                
Debt Instrument [Line Items]                
Face amount of debt     $ 500          
3.85% Notes Due 2029                
Debt Instrument [Line Items]                
Stated interest rate     3.85%          
3.85% Notes Due 2029 | Senior Notes                
Debt Instrument [Line Items]                
Stated interest rate     3.85%          
Face amount of debt     $ 750          
4.15% Notes Due 2031                
Debt Instrument [Line Items]                
Stated interest rate     4.15%          
4.15% Notes Due 2031 | Senior Notes                
Debt Instrument [Line Items]                
Stated interest rate     4.15%          
Face amount of debt     $ 1,000          
4.45% Notes Due 2032                
Debt Instrument [Line Items]                
Stated interest rate     4.45%          
4.45% Notes Due 2032 | Senior Notes                
Debt Instrument [Line Items]                
Stated interest rate     4.45%       4.55%  
Face amount of debt     $ 1,000       $ 1,000  
4.75% Notes Due 2035                
Debt Instrument [Line Items]                
Stated interest rate     4.75%          
4.75% Notes Due 2035 | Senior Notes                
Debt Instrument [Line Items]                
Stated interest rate     4.75%          
Face amount of debt     $ 1,500          
5.50% Notes Due 2046                
Debt Instrument [Line Items]                
Stated interest rate     5.50%          
5.50% Notes Due 2046 | Senior Notes                
Debt Instrument [Line Items]                
Stated interest rate     5.50%          
Face amount of debt     $ 750          
5.55% Notes Due 2055                
Debt Instrument [Line Items]                
Stated interest rate     5.55%          
5.55% Notes Due 2055 | Senior Notes                
Debt Instrument [Line Items]                
Stated interest rate     5.55%          
Face amount of debt     $ 1,500          
5.70% Notes Due 2065                
Debt Instrument [Line Items]                
Stated interest rate     5.70%          
5.70% Notes Due 2065 | Senior Notes                
Debt Instrument [Line Items]                
Stated interest rate     5.70%          
Face amount of debt     $ 1,000          
Floating Rate Notes Due 2027                
Debt Instrument [Line Items]                
Stated interest rate     4.16%          
Floating Rate Notes Due 2027 | Senior Notes                
Debt Instrument [Line Items]                
Face amount of debt             $ 500  
3.85% Notes Due 2027                
Debt Instrument [Line Items]                
Stated interest rate     3.85%          
3.85% Notes Due 2027 | Senior Notes                
Debt Instrument [Line Items]                
Stated interest rate             3.85%  
Face amount of debt             $ 750  
4.15% Notes Due 2030                
Debt Instrument [Line Items]                
Stated interest rate     4.15%          
4.15% Notes Due 2030 | Senior Notes                
Debt Instrument [Line Items]                
Stated interest rate             4.15%  
Face amount of debt             $ 750  
4.95% Notes Due 2035                
Debt Instrument [Line Items]                
Stated interest rate     4.95%          
4.95% Notes Due 2035 | Senior Notes                
Debt Instrument [Line Items]                
Stated interest rate             4.95%  
Face amount of debt             $ 1,750  
5.70% Notes Due 2055                
Debt Instrument [Line Items]                
Stated interest rate     5.70%          
5.70% Notes Due 2055 | Senior Notes                
Debt Instrument [Line Items]                
Stated interest rate             5.70%  
Face amount of debt             $ 1,250  
3.25% Notes Due 2032 | Senior Notes                
Debt Instrument [Line Items]                
Stated interest rate               3.25%
Face amount of debt | €               € 850,000,000
3.50% Notes Due 2037 | Senior Notes                
Debt Instrument [Line Items]                
Stated interest rate               3.50%
Face amount of debt | €               € 850,000,000
3.70% Notes Due 2044 | Senior Notes                
Debt Instrument [Line Items]                
Stated interest rate               3.70%
Face amount of debt | €               € 850,000,000
3.75% Notes Due 2054 | Senior Notes                
Debt Instrument [Line Items]                
Stated interest rate               3.75%
Face amount of debt | €               € 850,000,000
Repayment at Option of Holder                
Debt Instrument [Line Items]                
Loans payable and current portion of long-term debt     $ 215 $ 149        
Commercial paper                
Debt Instrument [Line Items]                
Weighted-average interest rate of commercial paper     4.32% 5.18%        
Foreign Financing Facility                
Debt Instrument [Line Items]                
Loans payable and current portion of long-term debt     $ 63