v3.21.1
Financial Instruments and Fair Value Measures - Financial Instruments (Details)
3 Months Ended
Mar. 31, 2021
USD ($)
Mar. 31, 2020
USD ($)
Mar. 31, 2021
EUR (€)
Dec. 31, 2020
USD ($)
Dec. 31, 2020
EUR (€)
Sep. 30, 2019
USD ($)
Derivative instruments, notional amount and fair value            
Amount excluded from the assessment of effectiveness for cash flow hedges $ 0 $ 0        
Amount excluded from the assessment of effectiveness for fair value hedges 0 $ 0        
Fair value - Derivatives in asset position 179,000,000     $ 189,000,000    
Fair value - Derivatives in liability position 126,000,000     166,000,000    
Designated as hedging instrument | Net investment hedges | Senior notes            
Derivative instruments, notional amount and fair value            
Principal amount of unsecured senior notes | €     € 6,600,000,000      
Designated as hedging instrument | Foreign currency forward exchange contracts | Cash flow hedges            
Derivative instruments, notional amount and fair value            
Notional amount of derivative instruments $ 1,000,000,000.0     1,500,000,000    
Duration of forward exchange contracts 18 months          
Approximate length of time over which accumulated gains and losses will be recognized in Cost of products sold 6 months          
Designated as hedging instrument | Foreign currency forward exchange contracts | Cash flow hedges | Prepaid expenses and other            
Derivative instruments, notional amount and fair value            
Fair value - Derivatives in asset position $ 9,000,000     2,000,000    
Designated as hedging instrument | Foreign currency forward exchange contracts | Cash flow hedges | Accounts payable and accrued liabilities            
Derivative instruments, notional amount and fair value            
Fair value - Derivatives in liability position 31,000,000     82,000,000    
Designated as hedging instrument | Foreign currency forward exchange contracts | Cash flow hedges | Other assets            
Derivative instruments, notional amount and fair value            
Fair value - Derivatives in asset position 1,000,000     0    
Designated as hedging instrument | Foreign currency forward exchange contracts | Cash flow hedges | Other long-term liabilities            
Derivative instruments, notional amount and fair value            
Fair value - Derivatives in liability position 0     6,000,000    
Designated as hedging instrument | Foreign currency forward exchange contracts | Net investment hedges            
Derivative instruments, notional amount and fair value            
Notional amount of derivative instruments | €     € 2,000,000,000.0   € 971,000,000  
Designated as hedging instrument | Foreign currency forward exchange contracts | Net investment hedges | Prepaid expenses and other            
Derivative instruments, notional amount and fair value            
Fair value - Derivatives in asset position 42,000,000     0    
Designated as hedging instrument | Foreign currency forward exchange contracts | Net investment hedges | Accounts payable and accrued liabilities            
Derivative instruments, notional amount and fair value            
Fair value - Derivatives in liability position 0     11,000,000    
Designated as hedging instrument | Treasury rate lock agreements | Cash flow hedges            
Derivative instruments, notional amount and fair value            
Notional amount of derivative instruments           $ 10,000,000,000.0
Designated as hedging instrument | Interest rate swap contracts | Cash flow hedges            
Derivative instruments, notional amount and fair value            
Notional amount of derivative instruments 2,300,000,000     2,300,000,000    
Designated as hedging instrument | Interest rate swap contracts | Cash flow hedges | Prepaid expenses and other            
Derivative instruments, notional amount and fair value            
Fair value - Derivatives in asset position 0     0    
Designated as hedging instrument | Interest rate swap contracts | Cash flow hedges | Accounts payable and accrued liabilities            
Derivative instruments, notional amount and fair value            
Fair value - Derivatives in liability position 8,000,000     14,000,000    
Designated as hedging instrument | Interest rate swap contracts | Cash flow hedges | Other assets            
Derivative instruments, notional amount and fair value            
Fair value - Derivatives in asset position 0     0    
Designated as hedging instrument | Interest rate swap contracts | Cash flow hedges | Other long-term liabilities            
Derivative instruments, notional amount and fair value            
Fair value - Derivatives in liability position 16,000,000     20,000,000    
Designated as hedging instrument | Interest rate swap contracts | Fair value hedges            
Derivative instruments, notional amount and fair value            
Notional amount of derivative instruments 4,800,000,000          
Designated as hedging instrument | Interest rate swap contracts | Fair value hedges | Prepaid expenses and other            
Derivative instruments, notional amount and fair value            
Fair value - Derivatives in asset position 7,000,000     7,000,000    
Designated as hedging instrument | Interest rate swap contracts | Fair value hedges | Accounts payable and accrued liabilities            
Derivative instruments, notional amount and fair value            
Fair value - Derivatives in liability position 0     0    
Designated as hedging instrument | Interest rate swap contracts | Fair value hedges | Other assets            
Derivative instruments, notional amount and fair value            
Fair value - Derivatives in asset position 74,000,000     131,000,000    
Designated as hedging instrument | Interest rate swap contracts | Fair value hedges | Other long-term liabilities            
Derivative instruments, notional amount and fair value            
Fair value - Derivatives in liability position 0     0    
Not designated as hedging instrument | Foreign currency forward exchange contracts            
Derivative instruments, notional amount and fair value            
Notional amount of derivative instruments 7,500,000,000     8,600,000,000    
Not designated as hedging instrument | Foreign currency forward exchange contracts | Prepaid expenses and other            
Derivative instruments, notional amount and fair value            
Fair value - Derivatives in asset position 46,000,000     49,000,000    
Not designated as hedging instrument | Foreign currency forward exchange contracts | Accounts payable and accrued liabilities            
Derivative instruments, notional amount and fair value            
Fair value - Derivatives in liability position $ 71,000,000     $ 33,000,000