v3.26.1
Licensing, Acquisitions and Other Arrangements (Details) - USD ($)
$ in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2026
Jun. 30, 2025
Jun. 30, 2026
Jun. 30, 2025
Collaborative and license agreements        
Cash outflows related to acquisitions and investments     $ 1,090 $ 1,274
Acquired IPR&D and milestones $ 291 $ 823 1,035 1,071
Collaborative arrangement        
Collaborative and license agreements        
Research and development milestone expenses 146 118 187 120
Other Collaboration Arrangements | Collaborative arrangement        
Collaborative and license agreements        
Acquired IPR&D and milestones 145 $ 705 848 $ 951
RemeGen        
Collaborative and license agreements        
Acquired IPR&D and milestones 650      
RemeGen | Collaborative arrangement        
Collaborative and license agreements        
Potential Payments under Agreement Certain Milestones 5,000   5,000  
ADARx Pharmaceuticals, Inc.        
Collaborative and license agreements        
Acquired IPR&D and milestones 335      
ADARx Pharmaceuticals, Inc. | Collaborative arrangement        
Collaborative and license agreements        
Potential Payments under Agreement Certain Milestones 7,500   7,500  
Option fees and exercise payments 385   385  
Gubra A/S        
Collaborative and license agreements        
Acquired IPR&D and milestones 350      
Gubra A/S | Collaborative arrangement        
Collaborative and license agreements        
Potential Payments under Agreement Certain Milestones $ 1,900   $ 1,900