v3.25.4
Financial Instruments and Fair Value Measures - Financial Instruments (Details)
SFr in Millions, $ in Millions, € in Billions, kr in Billions
12 Months Ended
Dec. 31, 2025
USD ($)
Dec. 31, 2024
USD ($)
Dec. 31, 2025
EUR (€)
derivative
Dec. 31, 2025
USD ($)
derivative
Dec. 31, 2025
SEK (kr)
derivative
Dec. 31, 2025
CAD ($)
derivative
Dec. 31, 2025
CHF (SFr)
derivative
Dec. 31, 2024
EUR (€)
Dec. 31, 2024
USD ($)
Dec. 31, 2024
SEK (kr)
Dec. 31, 2024
CAD ($)
Dec. 31, 2024
CHF (SFr)
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       $ 91,000,000         $ 313,000,000      
Fair value - Derivatives in liability position       540,000,000         266,000,000      
Designated as hedging instrument | Net investment hedges | Senior notes                        
Derivative instruments, notional amount and fair value                        
Aggregate principal amount of senior Euro notes | €     € 3.1                  
Designated as hedging instrument | Foreign currency forward exchange contracts | Cash flow hedges                        
Derivative instruments, notional amount and fair value                        
Notional amount of derivative instruments       2,500,000,000         1,900,000,000      
Duration of forward exchange contracts 24 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       35,000,000         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       51,000,000         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 1.4 $ 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       0         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       220,000,000         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       0         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       228,000,000         0      
Designated as hedging instrument | Interest rate swap contracts | Fair value hedges                        
Derivative instruments, notional amount and fair value                        
Notional amount of derivative instruments       1,800,000,000         3,500,000,000      
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       0         0      
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       21,000,000         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       30,000,000         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       0         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       9,200,000,000         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       25,000,000         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       $ 20,000,000         $ 30,000,000