v3.25.2
REVENUE - Reconciliation of Gross Product Sales to Net Product Sales (Details) - USD ($)
$ in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2025
Jun. 30, 2024
Jun. 30, 2025
Jun. 30, 2024
Gross to Net Adjustments [Line Items]        
Total Revenues $ 12,269 $ 12,201 $ 23,470 $ 24,066
Total GTN adjustments (10,272) (8,855) (19,260) (16,591)
Prior period gross to net adjustment impacted by new accounting pronouncement 42 (19) 331 61
United States        
Gross to Net Adjustments [Line Items]        
Total Revenues 8,519 8,801 16,392 17,277
Total GTN adjustments (9,500) (8,000) (17,600) (14,900)
Gross product sales        
Gross to Net Adjustments [Line Items]        
Total Revenues 22,181 20,780 42,054 40,075
Net product sales        
Gross to Net Adjustments [Line Items]        
Total Revenues 11,909 11,925 22,794 23,484
Charge-backs and cash discounts        
Gross to Net Adjustments [Line Items]        
Total GTN adjustments (3,407) (2,843) (6,365) (5,399)
Medicaid and Medicare rebates        
Gross to Net Adjustments [Line Items]        
Total GTN adjustments (4,516) (3,864) (8,356) (6,948)
Other rebates, returns, discounts and adjustments        
Gross to Net Adjustments [Line Items]        
Total GTN adjustments $ (2,348) $ (2,148) $ (4,538) $ (4,244)