v3.25.0.1
Financial Instruments and Fair Value Measures - Financial Instruments (Details)
€ in Millions, SFr in Millions, $ in Millions, kr in Billions
12 Months Ended
Dec. 31, 2024
USD ($)
Dec. 31, 2023
USD ($)
Dec. 31, 2024
EUR (€)
derivative
Dec. 31, 2024
USD ($)
derivative
Dec. 31, 2024
SEK (kr)
derivative
Dec. 31, 2024
CAD ($)
derivative
Dec. 31, 2024
CHF (SFr)
derivative
Dec. 31, 2023
EUR (€)
Dec. 31, 2023
USD ($)
Dec. 31, 2023
SEK (kr)
Dec. 31, 2023
CAD ($)
Dec. 31, 2023
CHF (SFr)
Dec. 31, 2019
USD ($)
Derivative instruments, notional amount and fair value                          
Number of outstanding derivative instruments containing credit risk contingent features | derivative     0 0 0 0 0            
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       $ 313,000,000         $ 66,000,000        
Fair value - Derivatives in liability position       266,000,000         496,000,000        
Designated as hedging instrument | Net investment hedges | Senior notes                          
Derivative instruments, notional amount and fair value                          
Aggregate principal amount of senior Euro notes | €     € 3,100         € 5,400          
Designated as hedging instrument | Foreign currency forward exchange contracts | Cash flow hedges                          
Derivative instruments, notional amount and fair value                          
Notional amount of derivative instruments       1,900,000,000         1,800,000,000        
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       119,000,000         12,000,000        
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       5,000,000         32,000,000        
Designated as hedging instrument | Foreign currency forward exchange contracts | Net investment hedges                          
Derivative instruments, notional amount and fair value                          
Notional amount of derivative instruments     € 6,200   kr 1.4 $ 500 SFr 50 4,900   kr 1.4 $ 750 SFr 50  
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       4,000,000         13,000,000        
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         66,000,000        
Designated as hedging instrument | Foreign currency forward exchange contracts | Net investment hedges | Other assets                          
Derivative instruments, notional amount and fair value                          
Fair value - Derivatives in asset position       148,000,000         0        
Designated as hedging instrument | Foreign currency forward exchange contracts | Net investment hedges | Other long-term liabilities                          
Derivative instruments, notional amount and fair value                          
Fair value - Derivatives in liability position       0         69,000,000        
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
Designated as hedging instrument | Interest rate swap contracts | Fair value hedges                          
Derivative instruments, notional amount and fair value                          
Notional amount of derivative instruments       3,500,000,000         5,000,000,000.0        
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       0         0        
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       231,000,000         293,000,000        
Designated as hedging instrument | Cross-Currency Swap Contracts | Cash flow hedges                          
Derivative instruments, notional amount and fair value                          
Notional amount of derivative instruments | €               € 433          
Not designated as hedging instrument | Foreign currency forward exchange contracts                          
Derivative instruments, notional amount and fair value                          
Notional amount of derivative instruments       5,900,000,000         7,900,000,000        
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       42,000,000         41,000,000        
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       $ 30,000,000         $ 36,000,000