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Segment and Geographic Area Information - Disaggregation of Revenue (Details) - USD ($) $ in Millions	3 Months Ended	12 Months Ended
	Dec. 31, 2024	Dec. 31, 2024	Dec. 31, 2023	Dec. 31, 2022
Disaggregation of Revenue
Net revenues		$ 56,334	$ 54,318	$ 58,054
Total net revenues	$ 15,102	$ 56,334	$ 54,318	$ 58,054
Collaborative Arrangement, Revenue Not from Contract with Customer, Statement of Income or Comprehensive Income [Extensible Enumeration]		Total net revenues	Total net revenues	Total net revenues
United States
Disaggregation of Revenue
Net revenues		$ 43,029	$ 41,883	$ 45,713
All other
Disaggregation of Revenue
Net revenues		3,032	3,035	4,137
Immunology \| Humira
Disaggregation of Revenue
Net revenues		8,993	14,404	21,237
Immunology \| Humira \| United States
Disaggregation of Revenue
Net revenues		7,142	12,160	18,619
Immunology \| Humira \| International
Disaggregation of Revenue
Net revenues		1,851	2,244	2,618
Immunology \| Skyrizi
Disaggregation of Revenue
Net revenues		11,718	7,763	5,165
Immunology \| Skyrizi \| United States
Disaggregation of Revenue
Net revenues		10,086	6,753	4,484
Immunology \| Skyrizi \| International
Disaggregation of Revenue
Net revenues		1,632	1,010	681
Immunology \| Rinvoq
Disaggregation of Revenue
Net revenues		5,971	3,969	2,522
Immunology \| Rinvoq \| United States
Disaggregation of Revenue
Net revenues		4,259	2,824	1,794
Immunology \| Rinvoq \| International
Disaggregation of Revenue
Net revenues		1,712	1,145	728
Oncology \| Imbruvica
Disaggregation of Revenue
Net revenues		3,347	3,596	4,568
Oncology \| Imbruvica \| United States
Disaggregation of Revenue
Net revenues		2,448	2,665	3,426
Oncology \| Imbruvica \| International
Disaggregation of Revenue
Collaboration revenues		899	931	1,142
Oncology \| Venclexta
Disaggregation of Revenue
Net revenues		2,583	2,288	2,009
Oncology \| Venclexta \| United States
Disaggregation of Revenue
Net revenues		1,234	1,087	1,009
Oncology \| Venclexta \| International
Disaggregation of Revenue
Net revenues		1,349	1,201	1,000
Oncology \| Epkinly
Disaggregation of Revenue
Net revenues		146	31
Collaboration revenues		118	28	0
Oncology \| Epkinly \| International
Disaggregation of Revenue
Net revenues		28	3	0
Oncology \| Elahere
Disaggregation of Revenue
Net revenues		479	0	0
Oncology \| Elahere \| United States
Disaggregation of Revenue
Net revenues		477	0	0
Oncology \| Elahere \| International
Disaggregation of Revenue
Net revenues		2	0	0
Aesthetics \| Botox Cosmetic
Disaggregation of Revenue
Net revenues		2,720	2,682	2,615
Aesthetics \| Botox Cosmetic \| United States
Disaggregation of Revenue
Net revenues		1,682	1,670	1,654
Aesthetics \| Botox Cosmetic \| International
Disaggregation of Revenue
Net revenues		1,038	1,012	961
Aesthetics \| Juvederm Collection
Disaggregation of Revenue
Net revenues		1,177	1,378	1,428
Aesthetics \| Juvederm Collection \| United States
Disaggregation of Revenue
Net revenues		469	519	548
Aesthetics \| Juvederm Collection \| International
Disaggregation of Revenue
Net revenues		708	859	880
Aesthetics \| Other Aesthetics
Disaggregation of Revenue
Net revenues		1,279	1,234	1,290
Aesthetics \| Other Aesthetics \| United States
Disaggregation of Revenue
Net revenues		1,118	1,060	1,122
Aesthetics \| Other Aesthetics \| International
Disaggregation of Revenue
Net revenues		161	174	168
Neuroscience \| Botox Therapeutic
Disaggregation of Revenue
Net revenues		3,283	2,991	2,719
Neuroscience \| Botox Therapeutic \| United States
Disaggregation of Revenue
Net revenues		2,718	2,476	2,255
Neuroscience \| Botox Therapeutic \| International
Disaggregation of Revenue
Net revenues		565	515	464
Neuroscience \| Vraylar
Disaggregation of Revenue
Net revenues		3,267	2,759	2,038
Neuroscience \| Vraylar \| United States
Disaggregation of Revenue
Net revenues		3,260	2,755	2,037
Neuroscience \| Vraylar \| International
Disaggregation of Revenue
Net revenues		7	4	1
Neuroscience \| Duodopa
Disaggregation of Revenue
Net revenues		447	468	458
Neuroscience \| Duodopa \| United States
Disaggregation of Revenue
Net revenues		96	97	95
Neuroscience \| Duodopa \| International
Disaggregation of Revenue
Net revenues		351	371	363
Neuroscience \| Ubrelvy
Disaggregation of Revenue
Net revenues		1,006	815	680
Neuroscience \| Ubrelvy \| United States
Disaggregation of Revenue
Net revenues		981	803	680
Neuroscience \| Ubrelvy \| International
Disaggregation of Revenue
Net revenues		25	12	0
Neuroscience \| Qulipta
Disaggregation of Revenue
Net revenues		658	408	158
Neuroscience \| Qulipta \| United States
Disaggregation of Revenue
Net revenues		628	405	158
Neuroscience \| Qulipta \| International
Disaggregation of Revenue
Net revenues		30	3	0
Neuroscience \| Other Neuroscience
Disaggregation of Revenue
Net revenues		338	276	475
Neuroscience \| Other Neuroscience \| United States
Disaggregation of Revenue
Net revenues		224	254	456
Neuroscience \| Other Neuroscience \| International
Disaggregation of Revenue
Net revenues		114	22	19
Eye Care \| Lumigan/Ganfort
Disaggregation of Revenue
Net revenues		429	432	514
Eye Care \| Lumigan/Ganfort \| United States
Disaggregation of Revenue
Net revenues		187	173	242
Eye Care \| Lumigan/Ganfort \| International
Disaggregation of Revenue
Net revenues		242	259	272
Eye Care \| Alphagan/Combigan
Disaggregation of Revenue
Net revenues		248	272	346
Eye Care \| Alphagan/Combigan \| United States
Disaggregation of Revenue
Net revenues		95	121	202
Eye Care \| Alphagan/Combigan \| International
Disaggregation of Revenue
Net revenues		153	151	144
Eye Care \| Restasis
Disaggregation of Revenue
Net revenues		224	436	666
Eye Care \| Restasis \| United States
Disaggregation of Revenue
Net revenues		172	382	621
Eye Care \| Restasis \| International
Disaggregation of Revenue
Net revenues		52	54	45
Eye Care \| Other Eye Care
Disaggregation of Revenue
Net revenues		847	803	747
Eye Care \| Other Eye Care \| United States
Disaggregation of Revenue
Net revenues		472	433	399
Eye Care \| Other Eye Care \| International
Disaggregation of Revenue
Net revenues		375	370	348
Eye Care \| Ozurdex
Disaggregation of Revenue
Net revenues		494	472	428
Eye Care \| Ozurdex \| United States
Disaggregation of Revenue
Net revenues		138	143	139
Eye Care \| Ozurdex \| International
Disaggregation of Revenue
Net revenues		356	329	289
Other Key Products \| Mavyret
Disaggregation of Revenue
Net revenues		1,311	1,430	1,541
Other Key Products \| Mavyret \| United States
Disaggregation of Revenue
Net revenues		595	659	755
Other Key Products \| Mavyret \| International
Disaggregation of Revenue
Net revenues		716	771	786
Other Key Products \| Creon \| United States
Disaggregation of Revenue
Net revenues		1,383	1,268	1,278
Other Key Products \| Linzess/Constella
Disaggregation of Revenue
Net revenues		954	1,108	1,035
Other Key Products \| Linzess/Constella \| United States
Disaggregation of Revenue
Net revenues		916	1,073	1,003
Other Key Products \| Linzess/Constella \| International
Disaggregation of Revenue
Net revenues		$ 38	$ 35	$ 32