v3.26.1
Revenues and geographic information - Top 20 (Details 3) - USD ($)
$ in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2026
Jun. 30, 2025
Jun. 30, 2026
Jun. 30, 2025
Disclosure of operating segments [line items]        
Net sales to third parties $ 14,408 $ 14,054 $ 27,521 $ 27,287
Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 3.00%   1.00%  
Net sales, change in %, cc 1.00%   (2.00%)  
Top 20 products [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 11,781   $ 22,537  
Top 20 products [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 2.00%   1.00%  
Net sales, change in %, cc 1.00%   (2.00%)  
Rest of portfolio [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 2,627   $ 4,984  
Rest of portfolio [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 6.00%   1.00%  
Net sales, change in %, cc 5.00%   (2.00%)  
Cardiovascular, renal and metabolic [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 1,688 2,655 $ 3,461 5,173
Cardiovascular, renal and metabolic [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (36.00%)   (33.00%)  
Net sales, change in %, cc (37.00%)   (35.00%)  
Cardiovascular, renal and metabolic [member] | Entresto [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 1,181 2,357 $ 2,486 4,618
Cardiovascular, renal and metabolic [member] | Entresto [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (50.00%)   (46.00%)  
Net sales, change in %, cc (51.00%)   (48.00%)  
Cardiovascular, renal and metabolic [member] | Leqvio [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 480 298 $ 932 555
Cardiovascular, renal and metabolic [member] | Leqvio [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 61.00%   68.00%  
Net sales, change in %, cc 59.00%   64.00%  
Cardiovascular, renal and metabolic [member] | Top 20 products [member] | Entresto [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 1,181   $ 2,486  
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 % (50.00%)   (46.00%)  
Net sales, change in %, cc (51.00%)   (48.00%)  
Cardiovascular, renal and metabolic [member] | Top 20 products [member] | Leqvio [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 480   $ 932  
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 % 61.00%   68.00%  
Net sales, change in %, cc 59.00%   64.00%  
Immunology [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 2,780 2,549 $ 5,246 4,958
Immunology [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 9.00%   6.00%  
Net sales, change in %, cc 8.00%   3.00%  
Immunology [member] | Cosentyx [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 1,824 1,629 $ 3,390 3,163
Immunology [member] | Cosentyx [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 12.00%   7.00%  
Net sales, change in %, cc 10.00%   5.00%  
Immunology [member] | Ilaris [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 550 477 $ 1,025 896
Immunology [member] | Ilaris [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 15.00%   14.00%  
Net sales, change in %, cc 15.00%   13.00%  
Immunology [member] | Xolair [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 342 443 $ 730 899
Immunology [member] | Xolair [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (23.00%)   (19.00%)  
Net sales, change in %, cc (25.00%)   (22.00%)  
Immunology [member] | Top 20 products [member] | Cosentyx [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 1,824   $ 3,390  
Immunology [member] | Top 20 products [member] | Cosentyx [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 12.00%   7.00%  
Net sales, change in %, cc 10.00%   5.00%  
Immunology [member] | Top 20 products [member] | Ilaris [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 550   $ 1,025  
Immunology [member] | Top 20 products [member] | Ilaris [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 15.00%   14.00%  
Net sales, change in %, cc 15.00%   13.00%  
Immunology [member] | Top 20 products [member] | Xolair [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 342   $ 730  
Immunology [member] | Top 20 products [member] | Xolair [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (23.00%)   (19.00%)  
Net sales, change in %, cc (25.00%)   (22.00%)  
Neuroscience [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 1,877 1,457 $ 3,438 2,759
Neuroscience [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 29.00%   25.00%  
Net sales, change in %, cc 28.00%   22.00%  
Neuroscience [member] | Kesimpta [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 1,424 1,077 $ 2,588 1,976
Neuroscience [member] | Kesimpta [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 32.00%   31.00%  
Net sales, change in %, cc 32.00%   29.00%  
Neuroscience [member] | Zolgensma Group [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 365 297 $ 667 624
Neuroscience [member] | Zolgensma Group [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 23.00%   7.00%  
Net sales, change in %, cc 20.00%   3.00%  
Neuroscience [member] | Top 20 products [member] | Kesimpta [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 1,424   $ 2,588  
Neuroscience [member] | Top 20 products [member] | Kesimpta [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 32.00%   31.00%  
Net sales, change in %, cc 32.00%   29.00%  
Neuroscience [member] | Top 20 products [member] | Zolgensma Group [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 365   $ 667  
Neuroscience [member] | Top 20 products [member] | Zolgensma Group [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 23.00%   7.00%  
Net sales, change in %, cc 20.00%   3.00%  
Oncology [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 4,515 3,353 $ 8,536 6,236
Oncology [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 35.00%   37.00%  
Net sales, change in %, cc 34.00%   34.00%  
Oncology [member] | Kisqali [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 1,695 1,177 $ 3,211 2,133
Oncology [member] | Kisqali [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 44.00%   51.00%  
Net sales, change in %, cc 43.00%   48.00%  
Oncology [member] | Pluvicto [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 651 454 $ 1,293 825
Oncology [member] | Pluvicto [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 43.00%   57.00%  
Net sales, change in %, cc 43.00%   55.00%  
Oncology [member] | Jakavi [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 576 524 $ 1,133 1,016
Oncology [member] | Jakavi [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 10.00%   12.00%  
Net sales, change in %, cc 8.00%   6.00%  
Oncology [member] | Tafinlar + Mekinist [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 581 573 $ 1,074 1,125
Oncology [member] | Tafinlar + Mekinist [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 1.00%   (5.00%)  
Net sales, change in %, cc 0.00%   (7.00%)  
Oncology [member] | Scemblix [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 562 298 $ 995 536
Oncology [member] | Scemblix [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 89.00%   86.00%  
Net sales, change in %, cc 89.00%   85.00%  
Oncology [member] | Lutathera [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 225 207 $ 436 400
Oncology [member] | Lutathera [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 9.00%   9.00%  
Net sales, change in %, cc 8.00%   8.00%  
Oncology [member] | Fabhalta [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 225 120 $ 394 201
Net sales, change in % 88.00%   96.00%  
Net sales, change in %, cc 88.00%   94.00%  
Oncology [member] | Top 20 products [member] | Kisqali [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 1,695   $ 3,211  
Oncology [member] | Top 20 products [member] | Kisqali [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 44.00%   51.00%  
Net sales, change in %, cc 43.00%   48.00%  
Oncology [member] | Top 20 products [member] | Pluvicto [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 651   $ 1,293  
Oncology [member] | Top 20 products [member] | Pluvicto [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 43.00%   57.00%  
Net sales, change in %, cc 43.00%   55.00%  
Oncology [member] | Top 20 products [member] | Jakavi [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 576   $ 1,133  
Oncology [member] | Top 20 products [member] | Jakavi [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 10.00%   12.00%  
Net sales, change in %, cc 8.00%   6.00%  
Oncology [member] | Top 20 products [member] | Tafinlar + Mekinist [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 581   $ 1,074  
Oncology [member] | Top 20 products [member] | Tafinlar + Mekinist [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 1.00%   (5.00%)  
Net sales, change in %, cc 0.00%   (7.00%)  
Oncology [member] | Top 20 products [member] | Scemblix [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 562   $ 995  
Oncology [member] | Top 20 products [member] | Scemblix [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 89.00%   86.00%  
Net sales, change in %, cc 89.00%   85.00%  
Oncology [member] | Top 20 products [member] | Lutathera [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 225   $ 436  
Oncology [member] | Top 20 products [member] | Lutathera [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 9.00%   9.00%  
Net sales, change in %, cc 8.00%   8.00%  
Oncology [member] | Top 20 products [member] | Fabhalta [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 225   $ 394  
Oncology [member] | Top 20 products [member] | Fabhalta [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 88.00%   96.00%  
Net sales, change in %, cc 88.00%   94.00%  
Established Brands [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 3,548 4,040 $ 6,840 8,161
Established Brands [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (12.00%)   (16.00%)  
Net sales, change in %, cc (14.00%)   (19.00%)  
Established Brands [member] | Sandostatin Group [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 302 303 $ 589 620
Established Brands [member] | Sandostatin Group [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 0.00%   (5.00%)  
Net sales, change in %, cc (1.00%)   (7.00%)  
Established Brands [member] | Exforge Group [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 191 191 $ 394 370
Established Brands [member] | Exforge Group [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 0.00%   6.00%  
Net sales, change in %, cc (3.00%)   2.00%  
Established Brands [member] | Promacta/Revolade [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 179 502 $ 363 1,048
Established Brands [member] | Promacta/Revolade [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (64.00%)   (65.00%)  
Net sales, change in %, cc (65.00%)   (66.00%)  
Established Brands [member] | Diovan Group [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 160 154 $ 310 304
Established Brands [member] | Diovan Group [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 4.00%   2.00%  
Net sales, change in %, cc 2.00%   (2.00%)  
Established Brands [member] | Tasigna [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 142 327 $ 297 704
Established Brands [member] | Tasigna [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (57.00%)   (58.00%)  
Net sales, change in %, cc (58.00%)   (59.00%)  
Established Brands [member] | Lucentis [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 126 173 $ 230 362
Established Brands [member] | Lucentis [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (27.00%)   (36.00%)  
Net sales, change in %, cc (30.00%)   (40.00%)  
Established Brands [member] | Kymriah [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 88 99 $ 169 199
Established Brands [member] | Kymriah [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (11.00%)   (15.00%)  
Net sales, change in %, cc (10.00%)   (16.00%)  
Established Brands [member] | Top 20 products [member] | Sandostatin Group [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 302   $ 589  
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%   (5.00%)  
Net sales, change in %, cc (1.00%)   (7.00%)  
Established Brands [member] | Top 20 products [member] | Exforge Group [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 191   $ 394  
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%   6.00%  
Net sales, change in %, cc (3.00%)   2.00%  
Established Brands [member] | Top 20 products [member] | Promacta/Revolade [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 179   $ 363  
Established Brands [member] | Top 20 products [member] | Promacta/Revolade [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (64.00%)   (65.00%)  
Net sales, change in %, cc (65.00%)   (66.00%)  
Established Brands [member] | Top 20 products [member] | Diovan Group [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 160   $ 310  
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%   2.00%  
Net sales, change in %, cc 2.00%   (2.00%)  
Established Brands [member] | Top 20 products [member] | Tasigna [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 142   $ 297  
Established Brands [member] | Top 20 products [member] | Tasigna [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (57.00%)   (58.00%)  
Net sales, change in %, cc (58.00%)   (59.00%)  
Established Brands [member] | Top 20 products [member] | Lucentis [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 126   $ 230  
Established Brands [member] | Top 20 products [member] | Lucentis [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (27.00%)   (36.00%)  
Net sales, change in %, cc (30.00%)   (40.00%)  
US        
Disclosure of operating segments [line items]        
Net sales to third parties $ 5,954 $ 6,249 $ 10,913 $ 11,961
US | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (5.00%)   (9.00%)  
Net sales, change in %, cc (5.00%)   (9.00%)  
US | Top 20 products [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 5,333   $ 9,792  
US | Top 20 products [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (7.00%)   (10.00%)  
US | Rest of portfolio [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 621   $ 1,121  
US | Rest of portfolio [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 14.00%   3.00%  
US | Cardiovascular, renal and metabolic [member] | Top 20 products [member] | Entresto [member]        
Disclosure of operating segments [line items]        
Net sales to third parties     $ 70  
Third party sales $ (2)      
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 %     (97.00%)  
US | Cardiovascular, renal and metabolic [member] | Top 20 products [member] | Leqvio [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 214   $ 380  
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 % 55.00%   43.00%  
US | Immunology [member] | Top 20 products [member] | Cosentyx [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 1,069   $ 1,839  
US | Immunology [member] | Top 20 products [member] | Cosentyx [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 16.00%   6.00%  
US | Immunology [member] | Top 20 products [member] | Ilaris [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 315   $ 561  
US | Immunology [member] | Top 20 products [member] | Ilaris [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 21.00%   17.00%  
US | Neuroscience [member] | Top 20 products [member] | Kesimpta [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 942   $ 1,666  
US | Neuroscience [member] | Top 20 products [member] | Kesimpta [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 32.00%   28.00%  
US | Neuroscience [member] | Top 20 products [member] | Zolgensma Group [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 152   $ 269  
US | Neuroscience [member] | Top 20 products [member] | Zolgensma Group [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 58.00%   20.00%  
US | Oncology [member] | Top 20 products [member] | Kisqali [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 1,045   $ 1,970  
US | Oncology [member] | Top 20 products [member] | Kisqali [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 39.00%   47.00%  
US | Oncology [member] | Top 20 products [member] | Pluvicto [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 493   $ 999  
US | Oncology [member] | Top 20 products [member] | Pluvicto [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 38.00%   55.00%  
US | Oncology [member] | Top 20 products [member] | Tafinlar + Mekinist [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 197   $ 367  
US | Oncology [member] | Top 20 products [member] | Tafinlar + Mekinist [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (20.00%)   (19.00%)  
US | Oncology [member] | Top 20 products [member] | Scemblix [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 369   $ 655  
US | Oncology [member] | Top 20 products [member] | Scemblix [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 93.00%   90.00%  
US | Oncology [member] | Top 20 products [member] | Lutathera [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 163   $ 314  
US | Oncology [member] | Top 20 products [member] | Lutathera [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 9.00%   9.00%  
US | Oncology [member] | Top 20 products [member] | Fabhalta [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 124   $ 223  
US | Oncology [member] | Top 20 products [member] | Fabhalta [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 63.00%   74.00%  
US | Established Brands [member] | Top 20 products [member] | Sandostatin Group [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 177   $ 339  
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 % (5.00%)   (12.00%)  
US | Established Brands [member] | Top 20 products [member] | Exforge Group [member]        
Disclosure of operating segments [line items]        
Net sales to third parties     $ 2  
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 %     (33.00%)  
US | Established Brands [member] | Top 20 products [member] | Promacta/Revolade [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 39   $ 64  
US | Established Brands [member] | Top 20 products [member] | Promacta/Revolade [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (83.00%)   (88.00%)  
US | Established Brands [member] | Top 20 products [member] | Diovan Group [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 6   $ 16  
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 % (14.00%)   (20.00%)  
US | Established Brands [member] | Top 20 products [member] | Tasigna [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 30   $ 58  
US | Established Brands [member] | Top 20 products [member] | Tasigna [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (81.00%)   (84.00%)  
Rest of the world [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 8,454   $ 16,608  
Rest of the world [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%   4.00%  
Rest of the world [member] | Top 20 products [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 6,448   $ 12,745  
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%   11.00%  
Net sales, change in %, cc 8.00%   6.00%  
Rest of the world [member] | Rest of portfolio [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 2,006   $ 3,863  
Rest of the world [member] | Rest of portfolio [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 4.00%   1.00%  
Net sales, change in %, cc 2.00%   (3.00%)  
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 $ 1,183   $ 2,416  
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 % 4.00%   9.00%  
Net sales, change in %, cc 3.00%   5.00%  
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 $ 266   $ 552  
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 % 66.00%   90.00%  
Net sales, change in %, cc 63.00%   83.00%  
Rest of the world [member] | Immunology [member] | Top 20 products [member] | Cosentyx [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 755   $ 1,551  
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 % 7.00%   9.00%  
Net sales, change in %, cc 3.00%   3.00%  
Rest of the world [member] | Immunology [member] | Top 20 products [member] | Ilaris [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 235   $ 464  
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 % 8.00%   11.00%  
Net sales, change in %, cc 8.00%   7.00%  
Rest of the world [member] | Immunology [member] | Top 20 products [member] | Xolair [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 342   $ 730  
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 % (23.00%)   (19.00%)  
Net sales, change in %, cc (25.00%)   (22.00%)  
Rest of the world [member] | Neuroscience [member] | Top 20 products [member] | Kesimpta [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 482   $ 922  
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 % 32.00%   36.00%  
Net sales, change in %, cc 30.00%   31.00%  
Rest of the world [member] | Neuroscience [member] | Top 20 products [member] | Zolgensma Group [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 213   $ 398  
Rest of the world [member] | Neuroscience [member] | Top 20 products [member] | Zolgensma Group [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 6.00%   0.00%  
Net sales, change in %, cc 2.00%   (6.00%)  
Rest of the world [member] | Oncology [member] | Top 20 products [member] | Kisqali [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 650   $ 1,241  
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 % 52.00%   56.00%  
Net sales, change in %, cc 49.00%   49.00%  
Rest of the world [member] | Oncology [member] | Top 20 products [member] | Pluvicto [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 158   $ 294  
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 % 65.00%   63.00%  
Net sales, change in %, cc 62.00%   55.00%  
Rest of the world [member] | Oncology [member] | Top 20 products [member] | Jakavi [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 576   $ 1,133  
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 % 10.00%   12.00%  
Net sales, change in %, cc 8.00%   6.00%  
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 $ 384   $ 707  
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 % 17.00%   5.00%  
Net sales, change in %, cc 15.00%   1.00%  
Rest of the world [member] | Oncology [member] | Top 20 products [member] | Scemblix [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 193   $ 340  
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 % 80.00%   78.00%  
Net sales, change in %, cc 82.00%   76.00%  
Rest of the world [member] | Oncology [member] | Top 20 products [member] | Lutathera [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 62   $ 122  
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 % 9.00%   10.00%  
Net sales, change in %, cc 6.00%   5.00%  
Rest of the world [member] | Oncology [member] | Top 20 products [member] | Fabhalta [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 101   $ 171  
Rest of the world [member] | Oncology [member] | Top 20 products [member] | Fabhalta [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % 130.00%   134.00%  
Net sales, change in %, cc 130.00%   128.00%  
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 $ 125   $ 250  
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%   6.00%  
Net sales, change in %, cc 7.00%   2.00%  
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 $ 191   $ 392  
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 % 1.00%   7.00%  
Net sales, change in %, cc (3.00%)   2.00%  
Rest of the world [member] | Established Brands [member] | Top 20 products [member] | Promacta/Revolade [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 140   $ 299  
Rest of the world [member] | Established Brands [member] | Top 20 products [member] | Promacta/Revolade [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (49.00%)   (44.00%)  
Net sales, change in %, cc (50.00%)   (46.00%)  
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 $ 154   $ 294  
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%   4.00%  
Net sales, change in %, cc 3.00%   0.00%  
Rest of the world [member] | Established Brands [member] | Top 20 products [member] | Tasigna [member]        
Disclosure of operating segments [line items]        
Net sales to third parties $ 112   $ 239  
Rest of the world [member] | Established Brands [member] | Top 20 products [member] | Tasigna [member] | Change over period [member]        
Disclosure of operating segments [line items]        
Net sales, change in % (32.00%)   (31.00%)  
Net sales, change in %, cc (34.00%)   (34.00%)  
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 $ 126   $ 230  
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 % (27.00%)   (36.00%)  
Net sales, change in %, cc (30.00%)   (40.00%)