v3.25.4

Accumulated Other Comprehensive Income (Loss) (Details) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
AOCI Attributable to Parent, Net of Tax [Roll Forward]
Beginning of Year	$ 47,901
Other Comprehensive Income (Loss)	1,905	$ (67)	$ 212
End of Year	52,771	47,901
Established Pharmaceuticals
AOCI Attributable to Parent, Net of Tax [Roll Forward]
Foreign currency translation adjustment		116
Total
AOCI Attributable to Parent, Net of Tax [Roll Forward]
Beginning of Year	(7,906)	(7,839)	(8,051)
Other comprehensive income (loss) before reclassifications	1,957	(115)
(Income) loss amounts reclassified from accumulated other comprehensive income	(52)	48
Other Comprehensive Income (Loss)	1,905	(67)	212
End of Year	(6,001)	(7,906)	(7,839)
Cumulative Foreign Currency Translation Adjustments
AOCI Attributable to Parent, Net of Tax [Roll Forward]
Beginning of Year	(7,505)	(6,504)
Other comprehensive income (loss) before reclassifications	1,574	(1,117)
(Income) loss amounts reclassified from accumulated other comprehensive income	0	116
Other Comprehensive Income (Loss)	1,574	(1,001)
End of Year	(5,931)	(7,505)	(6,504)
Net Actuarial Gains (Losses) and Prior Service (Costs) and Credits
AOCI Attributable to Parent, Net of Tax [Roll Forward]
Beginning of Year	(611)	(1,376)
Other comprehensive income (loss) before reclassifications	610	757
(Income) loss amounts reclassified from accumulated other comprehensive income	0	8
Other Comprehensive Income (Loss)	610	765
End of Year	(1)	(611)	(1,376)
Cumulative Gains (Losses) on Derivative Instruments Designated as Cash Flow Hedges
AOCI Attributable to Parent, Net of Tax [Roll Forward]
Beginning of Year	210	41
Other comprehensive income (loss) before reclassifications	(227)	245
(Income) loss amounts reclassified from accumulated other comprehensive income	(52)	(76)
Other Comprehensive Income (Loss)	(279)	169
End of Year	$ (69)	$ 210	$ 41

Disposal Group, Including Discontinued Operation, Foreign Currency Translation Adjustment

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