v3.25.4
Property, plant and equipment - Schedule of Property, Plant and Equipment (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Property, Plant and Equipment [Line Items]      
Property, plant and equipment, gross $ 19,033 $ 16,931  
Less accumulated depreciation and amortization (11,120) (10,388)  
Property, plant and equipment, net 7,913 6,543  
Depreciation and amortization charges associated with property, plant and equipment 763 694 $ 685
Land      
Property, Plant and Equipment [Line Items]      
Property, plant and equipment, gross 348 346  
Buildings and improvements      
Property, Plant and Equipment [Line Items]      
Property, plant and equipment, gross $ 4,932 4,803  
Buildings and improvements | Minimum      
Property, Plant and Equipment [Line Items]      
Useful life (in years) 10 years    
Buildings and improvements | Maximum      
Property, Plant and Equipment [Line Items]      
Useful life (in years) 40 years    
Manufacturing equipment      
Property, Plant and Equipment [Line Items]      
Property, plant and equipment, gross $ 3,589 3,291  
Manufacturing equipment | Minimum      
Property, Plant and Equipment [Line Items]      
Useful life (in years) 8 years    
Manufacturing equipment | Maximum      
Property, Plant and Equipment [Line Items]      
Useful life (in years) 12 years    
Laboratory equipment      
Property, Plant and Equipment [Line Items]      
Property, plant and equipment, gross $ 1,438 1,345  
Laboratory equipment | Minimum      
Property, Plant and Equipment [Line Items]      
Useful life (in years) 8 years    
Laboratory equipment | Maximum      
Property, Plant and Equipment [Line Items]      
Useful life (in years) 12 years    
Fixed equipment      
Property, Plant and Equipment [Line Items]      
Useful life (in years) 12 years    
Property, plant and equipment, gross $ 2,668 2,592  
Capitalized software      
Property, Plant and Equipment [Line Items]      
Property, plant and equipment, gross $ 1,554 1,442  
Capitalized software | Minimum      
Property, Plant and Equipment [Line Items]      
Useful life (in years) 3 years    
Capitalized software | Maximum      
Property, Plant and Equipment [Line Items]      
Useful life (in years) 5 years    
Other      
Property, Plant and Equipment [Line Items]      
Property, plant and equipment, gross $ 1,114 1,059  
Other | Minimum      
Property, Plant and Equipment [Line Items]      
Useful life (in years) 5 years    
Other | Maximum      
Property, Plant and Equipment [Line Items]      
Useful life (in years) 10 years    
Construction in progress      
Property, Plant and Equipment [Line Items]      
Property, plant and equipment, gross $ 3,390 $ 2,053