v3.25.1
Financial Instruments and Fair Value Measures - Financial Instruments (Details)
SFr in Millions, $ in Millions, € in Billions, kr in Billions
3 Months Ended
Mar. 31, 2025
USD ($)
Mar. 31, 2024
USD ($)
Mar. 31, 2025
EUR (€)
Mar. 31, 2025
SEK (kr)
Mar. 31, 2025
CAD ($)
Mar. 31, 2025
CHF (SFr)
Dec. 31, 2024
USD ($)
Dec. 31, 2024
EUR (€)
Dec. 31, 2024
SEK (kr)
Dec. 31, 2024
CAD ($)
Dec. 31, 2024
CHF (SFr)
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 130,000,000           $ 313,000,000        
Fair value - Derivatives in liability position 252,000,000           266,000,000        
Designated as hedging instrument | Net investment hedges | Senior notes                      
Derivative instruments, notional amount and fair value                      
Principal amount of unsecured senior notes | €     € 3.1         € 3.1      
Designated as hedging instrument | Foreign currency forward exchange contracts | Cash flow hedges                      
Derivative instruments, notional amount and fair value                      
Notional amount of derivative instruments $ 1,700,000,000           1,900,000,000        
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 $ 48,000,000           119,000,000        
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 1,000,000           5,000,000        
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           0        
Designated as hedging instrument | Foreign currency forward exchange contracts | Net investment hedges                      
Derivative instruments, notional amount and fair value                      
Notional amount of derivative instruments     € 6.5 kr 1.9 $ 500 SFr 80   € 6.2 kr 1.4 $ 500 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 2,000,000           4,000,000        
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 43,000,000           0        
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 20,000,000           148,000,000        
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 35,000,000           0        
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           3,500,000,000        
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 43,000,000           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 135,000,000           231,000,000        
Not designated as hedging instrument | Foreign currency forward exchange contracts                      
Derivative instruments, notional amount and fair value                      
Notional amount of derivative instruments 6,600,000,000           5,900,000,000        
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 16,000,000           42,000,000        
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 $ 38,000,000           $ 30,000,000