v3.26.1
Summary of equity attributable to Novartis AG shareholders (Details) - USD ($)
shares in Millions, $ in Millions
 3 Months Ended 6 Months Ended
Jun. 30, 2026
Jun. 30, 2025
Jun. 30, 2026
Jun. 30, 2025
Disclosure of classes of share capital [line items]        
Equity at beginning of period $ 38,927 $ 38,452 $ 46,549 $ 44,126
Taxes on treasury share transactions (2) (2) (23) (33)
Dividends     (9,068) (7,818)
Net income 3,257 4,024 6,413 7,633
Other comprehensive income 586 1,988 424 3,029
Changes in non-controlling interests   2   2
Equity at end of period 41,946 42,054 41,946 42,054
Net dividend paid     6,200 5,300
Withholding tax on the gross dividend     $ 2,900 $ 2,500
Equity attributable to owners of parent [member]        
Disclosure of classes of share capital [line items]        
Number of shares outstanding at beginning of period     1,908.2 1,975.1
Equity at beginning of period 38,512 38,369 $ 46,130 $ 44,046
Shares acquired to be cancelled     (18.2) (48.8)
Shares acquired for cancellation, equity impact     $ (2,771) $ (5,350)
Other share purchases     (2.0) (1.6)
Other share purchases, equity impact     $ (292) $ (159)
Equity-based compensation plans and employee transactions, shares     12.6 11.1
Equity-based compensation plans and employee transactions, equity impact     $ 616 $ 557
Taxes on treasury share transactions (2) (2) (23) (33)
Dividends     (9,068) (7,818)
Net income 3,264 4,041 6,420 7,647
Other comprehensive income $ 590 $ 1,987 432 3,027
Changes in non-controlling interests       1
Other movements     $ 98 $ 67
Increase decrease through transfers and other movements equity, shares     0.1 0.1
Number of shares outstanding at end of period 1,900.7 1,935.9 1,900.7 1,935.9
Equity at end of period $ 41,542 $ 41,985 $ 41,542 $ 41,985
Share capital        
Disclosure of classes of share capital [line items]        
Equity at beginning of period 736 766 766 793
Equity at end of period 736 766 736 766
Treasury shares        
Disclosure of classes of share capital [line items]        
Equity at beginning of period (47) (19) (50) (53)
Equity at end of period (49) (33) (49) (33)
Retained earnings        
Disclosure of classes of share capital [line items]        
Equity at beginning of period 37,252 39,839 44,720 46,561
Taxes on treasury share transactions (2) (2) (23) (33)
Dividends     (9,068) (7,818)
Net income 3,264 4,041 6,420 7,647
Changes in non-controlling interests       1
Equity at end of period 39,649 41,527 39,649 41,527
Total value adjustments        
Disclosure of classes of share capital [line items]        
Equity at beginning of period 571 (2,217) 694 (3,255)
Other comprehensive income 590 1,987 432 3,027
Equity at end of period $ 1,206 $ (275) $ 1,206 $ (275)