v3.25.2
Revenues and geographic information (Details 3) - USD ($)
$ in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2025
Jun. 30, 2024
Jun. 30, 2025
Jun. 30, 2024
Disclosure of operating segments [line items]        
Net sales to third parties $ 14,054 $ 12,512 $ 27,287 $ 24,341
Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 12.00%   12.00%  
Net sales, change in %, cc 11.00%   13.00%  
Top 20 products [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 11,584   $ 22,421  
Top 20 products [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 16.00%   16.00%  
Net sales, change in %, cc 14.00%   17.00%  
Rest of portfolio [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 2,470   $ 4,866  
Rest of portfolio [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (1.00%)   (3.00%)  
Net sales, change in %, cc (1.00%)   (1.00%)  
Cardiovascular, renal and metabolic [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 2,655 2,080 $ 5,173 4,110
Cardiovascular, renal and metabolic [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 28.00%   26.00%  
Net sales, change in %, cc 26.00%   26.00%  
Cardiovascular, renal and metabolic [member] | Entresto [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 2,357 1,898 $ 4,618 3,777
Cardiovascular, renal and metabolic [member] | Entresto [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 24.00%   22.00%  
Net sales, change in %, cc 22.00%   22.00%  
Cardiovascular, renal and metabolic [member] | Leqvio [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 298 182 $ 555 333
Cardiovascular, renal and metabolic [member] | Leqvio [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 64.00%   67.00%  
Net sales, change in %, cc 61.00%   66.00%  
Cardiovascular, renal and metabolic [member] | Top 20 products [member] | Entresto [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 2,357   $ 4,618  
Cardiovascular, renal and metabolic [member] | Top 20 products [member] | Entresto [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 24.00%   22.00%  
Net sales, change in %, cc 22.00%   22.00%  
Cardiovascular, renal and metabolic [member] | Top 20 products [member] | Leqvio [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 298   $ 555  
Cardiovascular, renal and metabolic [member] | Top 20 products [member] | Leqvio [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 64.00%   67.00%  
Net sales, change in %, cc 61.00%   66.00%  
Immunology [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 2,549 2,321 $ 4,958 4,402
Immunology [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 10.00%   13.00%  
Net sales, change in %, cc 9.00%   13.00%  
Immunology [member] | Cosentyx [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 1,629 1,526 $ 3,163 2,852
Immunology [member] | Cosentyx [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 7.00%   11.00%  
Net sales, change in %, cc 6.00%   11.00%  
Immunology [member] | Xolair [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 443 427 $ 899 826
Immunology [member] | Xolair [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 4.00%   9.00%  
Net sales, change in %, cc 2.00%   10.00%  
Immunology [member] | Ilaris [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 477 368 $ 896 724
Immunology [member] | Ilaris [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 30.00%   24.00%  
Net sales, change in %, cc 27.00%   24.00%  
Immunology [member] | Top 20 products [member] | Cosentyx [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 1,629   $ 3,163  
Immunology [member] | Top 20 products [member] | Cosentyx [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 7.00%   11.00%  
Net sales, change in %, cc 6.00%   11.00%  
Immunology [member] | Top 20 products [member] | Xolair [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 443   $ 899  
Immunology [member] | Top 20 products [member] | Xolair [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 4.00%   9.00%  
Net sales, change in %, cc 2.00%   10.00%  
Immunology [member] | Top 20 products [member] | Ilaris [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 477   $ 896  
Immunology [member] | Top 20 products [member] | Ilaris [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 30.00%   24.00%  
Net sales, change in %, cc 27.00%   24.00%  
Neuroscience [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 1,457 1,225 $ 2,759 2,233
Neuroscience [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 19.00%   24.00%  
Net sales, change in %, cc 17.00%   23.00%  
Neuroscience [member] | Kesimpta [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 1,077 799 $ 1,976 1,436
Neuroscience [member] | Kesimpta [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 35.00%   38.00%  
Net sales, change in %, cc 33.00%   38.00%  
Neuroscience [member] | Zolgensma [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 297 349 $ 624 644
Neuroscience [member] | Zolgensma [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (15.00%)   (3.00%)  
Net sales, change in %, cc (17.00%)   (3.00%)  
Neuroscience [member] | Aimovig [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 83 77 $ 159 153
Neuroscience [member] | Aimovig [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 8.00%   4.00%  
Net sales, change in %, cc 3.00%   3.00%  
Neuroscience [member] | Top 20 products [member] | Kesimpta [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 1,077   $ 1,976  
Neuroscience [member] | Top 20 products [member] | Kesimpta [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 35.00%   38.00%  
Net sales, change in %, cc 33.00%   38.00%  
Neuroscience [member] | Top 20 products [member] | Zolgensma [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 297   $ 624  
Neuroscience [member] | Top 20 products [member] | Zolgensma [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (15.00%)   (3.00%)  
Net sales, change in %, cc (17.00%)   (3.00%)  
Oncology [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 4,293 3,527 $ 8,199 6,751
Oncology [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 22.00%   21.00%  
Net sales, change in %, cc 20.00%   22.00%  
Oncology [member] | Kisqali [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 1,177 717 $ 2,133 1,344
Oncology [member] | Kisqali [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 64.00%   59.00%  
Net sales, change in %, cc 64.00%   60.00%  
Oncology [member] | Tafinlar + Mekinist [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 573 523 $ 1,125 997
Oncology [member] | Tafinlar + Mekinist [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 10.00%   13.00%  
Net sales, change in %, cc 7.00%   13.00%  
Oncology [member] | Promacta/Revolade [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 502 544 $ 1,048 1,064
Oncology [member] | Promacta/Revolade [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (8.00%)   (2.00%)  
Net sales, change in %, cc (9.00%)   (1.00%)  
Oncology [member] | Jakavi [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 524 471 $ 1,016 949
Oncology [member] | Jakavi [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 11.00%   7.00%  
Net sales, change in %, cc 8.00%   8.00%  
Oncology [member] | Pluvicto [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 454 345 $ 825 655
Oncology [member] | Pluvicto [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 32.00%   26.00%  
Net sales, change in %, cc 30.00%   26.00%  
Oncology [member] | Tasigna [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 327 446 $ 704 841
Oncology [member] | Tasigna [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (27.00%)   (16.00%)  
Net sales, change in %, cc (27.00%)   (15.00%)  
Oncology [member] | Scemblix [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 298 164 $ 536 300
Oncology [member] | Scemblix [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 82.00%   79.00%  
Net sales, change in %, cc 79.00%   78.00%  
Oncology [member] | Lutathera [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 207 175 $ 400 344
Oncology [member] | Lutathera [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 18.00%   16.00%  
Net sales, change in %, cc 17.00%   16.00%  
Oncology [member] | Piqray/Vijoice [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 111 120 $ 211 229
Oncology [member] | Piqray/Vijoice [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (8.00%)   (8.00%)  
Net sales, change in %, cc (8.00%)   (8.00%)  
Oncology [member] | Fabhalta [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 120 22 $ 201 28
Oncology [member] | Top 20 products [member] | Kisqali [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 1,177   $ 2,133  
Oncology [member] | Top 20 products [member] | Kisqali [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 64.00%   59.00%  
Net sales, change in %, cc 64.00%   60.00%  
Oncology [member] | Top 20 products [member] | Tafinlar + Mekinist [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 573   $ 1,125  
Oncology [member] | Top 20 products [member] | Tafinlar + Mekinist [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 10.00%   13.00%  
Net sales, change in %, cc 7.00%   13.00%  
Oncology [member] | Top 20 products [member] | Promacta/Revolade [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 502   $ 1,048  
Oncology [member] | Top 20 products [member] | Promacta/Revolade [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (8.00%)   (2.00%)  
Net sales, change in %, cc (9.00%)   (1.00%)  
Oncology [member] | Top 20 products [member] | Jakavi [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 524   $ 1,016  
Oncology [member] | Top 20 products [member] | Jakavi [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 11.00%   7.00%  
Net sales, change in %, cc 8.00%   8.00%  
Oncology [member] | Top 20 products [member] | Pluvicto [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 454   $ 825  
Oncology [member] | Top 20 products [member] | Pluvicto [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 32.00%   26.00%  
Net sales, change in %, cc 30.00%   26.00%  
Oncology [member] | Top 20 products [member] | Tasigna [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 327   $ 704  
Oncology [member] | Top 20 products [member] | Tasigna [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (27.00%)   (16.00%)  
Net sales, change in %, cc (27.00%)   (15.00%)  
Oncology [member] | Top 20 products [member] | Scemblix [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 298   $ 536  
Oncology [member] | Top 20 products [member] | Scemblix [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 82.00%   79.00%  
Net sales, change in %, cc 79.00%   78.00%  
Oncology [member] | Top 20 products [member] | Lutathera [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 207   $ 400  
Oncology [member] | Top 20 products [member] | Lutathera [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 18.00%   16.00%  
Net sales, change in %, cc 17.00%   16.00%  
Established Brands [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 3,100 3,359 $ 6,198 6,845
Established Brands [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (8.00%)   (9.00%)  
Net sales, change in %, cc (8.00%)   (8.00%)  
Established Brands [member] | Sandostatin Group [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 303 313 $ 620 668
Established Brands [member] | Sandostatin Group [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (3.00%)   (7.00%)  
Net sales, change in %, cc (3.00%)   (6.00%)  
Established Brands [member] | Exforge Group [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 191 178 $ 370 370
Established Brands [member] | Exforge Group [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 7.00%   0.00%  
Net sales, change in %, cc 7.00%   3.00%  
Established Brands [member] | Lucentis [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 173 275 $ 362 589
Established Brands [member] | Lucentis [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (37.00%)   (39.00%)  
Net sales, change in %, cc (39.00%)   (38.00%)  
Established Brands [member] | Diovan Group [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 154 160 $ 304 300
Established Brands [member] | Diovan Group [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (4.00%)   1.00%  
Net sales, change in %, cc (4.00%)   3.00%  
Established Brands [member] | Galvus Group [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 123 150 $ 247 299
Established Brands [member] | Galvus Group [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (18.00%)   (17.00%)  
Net sales, change in %, cc (17.00%)   (14.00%)  
Established Brands [member] | Kymriah [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 99 113 $ 199 233
Established Brands [member] | Kymriah [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (12.00%)   (15.00%)  
Net sales, change in %, cc (14.00%)   (15.00%)  
Established Brands [member] | Contract manufacturing [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 276 271 $ 619 550
Established Brands [member] | Contract manufacturing [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 2.00%   13.00%  
Net sales, change in %, cc (3.00%)   12.00%  
Established Brands [member] | Other [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 1,781 1,899 $ 3,477 3,836
Established Brands [member] | Other [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (6.00%)   (9.00%)  
Net sales, change in %, cc (5.00%)   (7.00%)  
Established Brands [member] | Top 20 products [member] | Sandostatin Group [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 303   $ 620  
Established Brands [member] | Top 20 products [member] | Sandostatin Group [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (3.00%)   (7.00%)  
Net sales, change in %, cc (3.00%)   (6.00%)  
Established Brands [member] | Top 20 products [member] | Exforge Group [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 191   $ 370  
Established Brands [member] | Top 20 products [member] | Exforge Group [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 7.00%   0.00%  
Net sales, change in %, cc 7.00%   3.00%  
Established Brands [member] | Top 20 products [member] | Lucentis [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 173   $ 362  
Established Brands [member] | Top 20 products [member] | Lucentis [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (37.00%)   (39.00%)  
Net sales, change in %, cc (39.00%)   (38.00%)  
Established Brands [member] | Top 20 products [member] | Diovan Group [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 154   $ 304  
Established Brands [member] | Top 20 products [member] | Diovan Group [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (4.00%)   1.00%  
Net sales, change in %, cc (4.00%)   3.00%  
Established Brands [member] | Top 20 products [member] | Galvus Group [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 123   $ 247  
Established Brands [member] | Top 20 products [member] | Galvus Group [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (18.00%)   (17.00%)  
Net sales, change in %, cc (17.00%)   (14.00%)  
US        
Disclosure of operating segments [line items]        
Net sales to third parties $ 6,249 $ 5,146 $ 11,961 $ 9,734
US | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 21.00%   23.00%  
Net sales, change in %, cc 21.00%   23.00%  
US | Top 20 products [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 5,630   $ 10,746  
US | Top 20 products [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 22.00%   24.00%  
US | Rest of portfolio [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 619   $ 1,215  
US | Rest of portfolio [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 13.00%   11.00%  
US | Cardiovascular, renal and metabolic [member] | Top 20 products [member] | Entresto [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 1,223   $ 2,392  
US | Cardiovascular, renal and metabolic [member] | Top 20 products [member] | Entresto [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 29.00%   26.00%  
US | Cardiovascular, renal and metabolic [member] | Top 20 products [member] | Leqvio [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 138   $ 265  
US | Cardiovascular, renal and metabolic [member] | Top 20 products [member] | Leqvio [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 47.00%   58.00%  
US | Immunology [member] | Top 20 products [member] | Cosentyx [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 921   $ 1,736  
US | Immunology [member] | Top 20 products [member] | Cosentyx [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 6.00%   14.00%  
US | Immunology [member] | Top 20 products [member] | Ilaris [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 260   $ 478  
US | Immunology [member] | Top 20 products [member] | Ilaris [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 34.00%   33.00%  
US | Neuroscience [member] | Top 20 products [member] | Kesimpta [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 713   $ 1,300  
US | Neuroscience [member] | Top 20 products [member] | Kesimpta [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 28.00%   34.00%  
US | Neuroscience [member] | Top 20 products [member] | Zolgensma [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 96   $ 225  
US | Neuroscience [member] | Top 20 products [member] | Zolgensma [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (28.00%)   (5.00%)  
US | Oncology [member] | Top 20 products [member] | Kisqali [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 750   $ 1,336  
US | Oncology [member] | Top 20 products [member] | Kisqali [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 100.00%   94.00%  
US | Oncology [member] | Top 20 products [member] | Tafinlar + Mekinist [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 246   $ 454  
US | Oncology [member] | Top 20 products [member] | Tafinlar + Mekinist [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 22.00%   18.00%  
US | Oncology [member] | Top 20 products [member] | Promacta/Revolade [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 227   $ 515  
US | Oncology [member] | Top 20 products [member] | Promacta/Revolade [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (20.00%)   (6.00%)  
US | Oncology [member] | Top 20 products [member] | Pluvicto [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 358   $ 645  
US | Oncology [member] | Top 20 products [member] | Pluvicto [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 21.00%   12.00%  
US | Oncology [member] | Top 20 products [member] | Tasigna [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 162   $ 359  
US | Oncology [member] | Top 20 products [member] | Tasigna [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (30.00%)   (11.00%)  
US | Oncology [member] | Top 20 products [member] | Scemblix [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 191   $ 345  
US | Oncology [member] | Top 20 products [member] | Scemblix [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 82.00%   79.00%  
US | Oncology [member] | Top 20 products [member] | Lutathera [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 150   $ 289  
US | Oncology [member] | Top 20 products [member] | Lutathera [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 21.00%   20.00%  
US | Established Brands [member] | Top 20 products [member] | Sandostatin Group [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 187   $ 384  
US | Established Brands [member] | Top 20 products [member] | Sandostatin Group [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 0.00%   (10.00%)  
US | Established Brands [member] | Top 20 products [member] | Exforge Group [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 1   $ 3  
US | Established Brands [member] | Top 20 products [member] | Exforge Group [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 0.00%   (40.00%)  
US | Established Brands [member] | Top 20 products [member] | Diovan Group [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 7   $ 20  
US | Established Brands [member] | Top 20 products [member] | Diovan Group [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 17.00%   33.00%  
Rest of the world [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 7,805   $ 15,326  
Rest of the world [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 6.00%   5.00%  
Net sales, change in %, cc 4.00%   6.00%  
Rest of the world [member] | Top 20 products [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 5,954   $ 11,675  
Rest of the world [member] | Top 20 products [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 10.00%   9.00%  
Net sales, change in %, cc 7.00%   10.00%  
Rest of the world [member] | Rest of portfolio [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 1,851   $ 3,651  
Rest of the world [member] | Rest of portfolio [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (5.00%)   (7.00%)  
Net sales, change in %, cc (5.00%)   (5.00%)  
Rest of the world [member] | Cardiovascular, renal and metabolic [member] | Top 20 products [member] | Entresto [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 1,134   $ 2,226  
Rest of the world [member] | Cardiovascular, renal and metabolic [member] | Top 20 products [member] | Entresto [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 19.00%   18.00%  
Net sales, change in %, cc 15.00%   18.00%  
Rest of the world [member] | Cardiovascular, renal and metabolic [member] | Top 20 products [member] | Leqvio [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 160   $ 290  
Rest of the world [member] | Cardiovascular, renal and metabolic [member] | Top 20 products [member] | Leqvio [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 82.00%   76.00%  
Net sales, change in %, cc 74.00%   74.00%  
Rest of the world [member] | Immunology [member] | Top 20 products [member] | Cosentyx [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 708   $ 1,427  
Rest of the world [member] | Immunology [member] | Top 20 products [member] | Cosentyx [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 8.00%   8.00%  
Net sales, change in %, cc 6.00%   9.00%  
Rest of the world [member] | Immunology [member] | Top 20 products [member] | Xolair [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 443   $ 899  
Rest of the world [member] | Immunology [member] | Top 20 products [member] | Xolair [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 4.00%   9.00%  
Net sales, change in %, cc 2.00%   10.00%  
Rest of the world [member] | Immunology [member] | Top 20 products [member] | Ilaris [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 217   $ 418  
Rest of the world [member] | Immunology [member] | Top 20 products [member] | Ilaris [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 25.00%   15.00%  
Net sales, change in %, cc 20.00%   15.00%  
Rest of the world [member] | Neuroscience [member] | Top 20 products [member] | Kesimpta [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 364   $ 676  
Rest of the world [member] | Neuroscience [member] | Top 20 products [member] | Kesimpta [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 49.00%   45.00%  
Net sales, change in %, cc 45.00%   45.00%  
Rest of the world [member] | Neuroscience [member] | Top 20 products [member] | Zolgensma [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 201   $ 399  
Rest of the world [member] | Neuroscience [member] | Top 20 products [member] | Zolgensma [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (7.00%)   (2.00%)  
Net sales, change in %, cc (10.00%)   (2.00%)  
Rest of the world [member] | Oncology [member] | Top 20 products [member] | Kisqali [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 427   $ 797  
Rest of the world [member] | Oncology [member] | Top 20 products [member] | Kisqali [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 25.00%   21.00%  
Net sales, change in %, cc 25.00%   24.00%  
Rest of the world [member] | Oncology [member] | Top 20 products [member] | Tafinlar + Mekinist [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 327   $ 671  
Rest of the world [member] | Oncology [member] | Top 20 products [member] | Tafinlar + Mekinist [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 2.00%   10.00%  
Net sales, change in %, cc (2.00%)   10.00%  
Rest of the world [member] | Oncology [member] | Top 20 products [member] | Promacta/Revolade [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 275   $ 533  
Rest of the world [member] | Oncology [member] | Top 20 products [member] | Promacta/Revolade [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 5.00%   3.00%  
Net sales, change in %, cc 3.00%   5.00%  
Rest of the world [member] | Oncology [member] | Top 20 products [member] | Jakavi [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 524   $ 1,016  
Rest of the world [member] | Oncology [member] | Top 20 products [member] | Jakavi [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 11.00%   7.00%  
Net sales, change in %, cc 8.00%   8.00%  
Rest of the world [member] | Oncology [member] | Top 20 products [member] | Pluvicto [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 96   $ 180  
Rest of the world [member] | Oncology [member] | Top 20 products [member] | Pluvicto [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 92.00%   128.00%  
Net sales, change in %, cc 80.00%   125.00%  
Rest of the world [member] | Oncology [member] | Top 20 products [member] | Tasigna [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 165   $ 345  
Rest of the world [member] | Oncology [member] | Top 20 products [member] | Tasigna [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (24.00%)   (21.00%)  
Net sales, change in %, cc (25.00%)   (19.00%)  
Rest of the world [member] | Oncology [member] | Top 20 products [member] | Scemblix [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 107   $ 191  
Rest of the world [member] | Oncology [member] | Top 20 products [member] | Scemblix [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 81.00%   79.00%  
Net sales, change in %, cc 76.00%   77.00%  
Rest of the world [member] | Oncology [member] | Top 20 products [member] | Lutathera [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 57   $ 111  
Rest of the world [member] | Oncology [member] | Top 20 products [member] | Lutathera [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 12.00%   8.00%  
Net sales, change in %, cc 6.00%   6.00%  
Rest of the world [member] | Established Brands [member] | Top 20 products [member] | Sandostatin Group [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 116   $ 236  
Rest of the world [member] | Established Brands [member] | Top 20 products [member] | Sandostatin Group [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (8.00%)   (2.00%)  
Net sales, change in %, cc (8.00%)   0.00%  
Rest of the world [member] | Established Brands [member] | Top 20 products [member] | Exforge Group [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 190   $ 367  
Rest of the world [member] | Established Brands [member] | Top 20 products [member] | Exforge Group [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 7.00%   1.00%  
Net sales, change in %, cc 8.00%   4.00%  
Rest of the world [member] | Established Brands [member] | Top 20 products [member] | Lucentis [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 173   $ 362  
Rest of the world [member] | Established Brands [member] | Top 20 products [member] | Lucentis [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (37.00%)   (39.00%)  
Net sales, change in %, cc (39.00%)   (38.00%)  
Rest of the world [member] | Established Brands [member] | Top 20 products [member] | Diovan Group [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 147   $ 284  
Rest of the world [member] | Established Brands [member] | Top 20 products [member] | Diovan Group [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (5.00%)   0.00%  
Net sales, change in %, cc (6.00%)   1.00%  
Rest of the world [member] | Established Brands [member] | Top 20 products [member] | Galvus Group [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 123   $ 247  
Rest of the world [member] | Established Brands [member] | Top 20 products [member] | Galvus Group [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (18.00%)   (17.00%)  
Net sales, change in %, cc (17.00%)   (14.00%)