v3.26.1
Financial Instruments and Fair Value Measures - Financial Instruments (Details)
SFr in Millions, $ in Millions, € in Billions, kr in Billions
3 Months Ended
Mar. 31, 2026
USD ($)
Mar. 31, 2025
USD ($)
Mar. 31, 2026
EUR (€)
Mar. 31, 2026
SEK (kr)
Mar. 31, 2026
CAD ($)
Mar. 31, 2026
CHF (SFr)
Dec. 31, 2025
USD ($)
Dec. 31, 2025
EUR (€)
Dec. 31, 2025
SEK (kr)
Dec. 31, 2025
CAD ($)
Dec. 31, 2025
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 155,000,000           $ 91,000,000        
Fair value - Derivatives in liability position 338,000,000           540,000,000        
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 $ 2,400,000,000           2,500,000,000        
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 $ 46,000,000           35,000,000        
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 25,000,000           51,000,000        
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 10,000,000           1,000,000        
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     € 6.7 kr 1.4 $ 800 SFr 80   € 6.5 kr 1.4 $ 500 SFr 80
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 21,000,000           0        
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 115,000,000           220,000,000        
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 5,000,000           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 120,000,000           228,000,000        
Designated as hedging instrument | Interest rate swap contracts | Cash flow hedges                      
Derivative instruments, notional amount and fair value                      
Notional amount of derivative instruments 750,000,000                    
Designated as hedging instrument | Interest rate swap contracts | Cash flow hedges | Other assets                      
Derivative instruments, notional amount and fair value                      
Fair value - Derivatives in asset position 5,000,000           0        
Designated as hedging instrument | Interest rate swap 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 | Interest rate swap contracts | Fair value hedges                      
Derivative instruments, notional amount and fair value                      
Notional amount of derivative instruments 3,300,000,000           1,800,000,000        
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 14,000,000           21,000,000        
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 22,000,000           30,000,000        
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 40,000,000           0        
Not designated as hedging instrument | Foreign currency forward exchange contracts                      
Derivative instruments, notional amount and fair value                      
Notional amount of derivative instruments 9,300,000,000           9,200,000,000        
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 46,000,000           25,000,000        
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 $ 24,000,000           $ 20,000,000