| USD ($) $ in Millions | LTM | Dec 31, 2025 | Dec 31, 2024 | Dec 31, 2023 | Dec 31, 2022 | Dec 31, 2021 | Dec 31, 2020 | Dec 31, 2019 | Dec 31, 2018 | Dec 31, 2017 | Dec 31, 2016 | Dec 31, 2015 | Dec 31, 2014 | Dec 31, 2013 | Dec 31, 2012 | Dec 31, 2011 | Dec 31, 2010 | Dec 31, 2009 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Operating Activities | ||||||||||||||||||
Net income before allocation to noncontrolling interests | $ 4,369 | $ 7,812 | $ 8,062 | $ 2,158 | ||||||||||||||
Discontinued operations––net of tax | (5) | 25 | 11 | (15) | ||||||||||||||
Net income from continuing operations before allocation to noncontrolling interests | 4,374 | 7,787 | 8,051 | 2,172 | ||||||||||||||
Adjustments to reconcile net income from continuing operations before allocation to noncontrolling interests to net cash provided by/(used in) operating activities: | ||||||||||||||||||
Depreciation and amortization | 6,584 | 6,592 | 7,013 | 6,290 | ||||||||||||||
Asset write-offs and impairments | 9,197 | 5,270 | 4,242 | 3,408 | ||||||||||||||
Foreign currency loss related to Venezuela | - | - | - | - | ||||||||||||||
Loss on sale of HIS net assets | - | - | - | - | ||||||||||||||
TCJA impact | - | - | - | - | ||||||||||||||
Gain on completion of Consumer Healthcare JV transaction, net of cash conveyed | - | - | - | - | ||||||||||||||
Acquisition-related in-process research and development charges | - | - | - | - | ||||||||||||||
Asset write-offs, impairments and related charges | - | - | - | - | ||||||||||||||
Gain/(loss) on disposal of discontinued operations | - | - | - | - | ||||||||||||||
Write-down of HIS net assets to fair value less estimated costs to sell | - | - | - | - | ||||||||||||||
Gain associated with the transfer of certain product rights to an equity-method investment | - | - | - | - | ||||||||||||||
Gains on disposals | - | - | - | - | ||||||||||||||
Deferred taxes | (2,530) | (2,133) | (2,102) | (3,442) | ||||||||||||||
Deferred taxes from discontinued operations | - | - | - | - | ||||||||||||||
Share-based compensation expense | 947 | 799 | 877 | 525 | ||||||||||||||
Benefit plan contributions in excess of expense/income | (737) | (786) | (12) | (787) | ||||||||||||||
Inventory write-offs and related charges associated with COVID-19 products | 0 | 0 | 0 | 6,199 | ||||||||||||||
Benefit plan contributions (in excess of)/less than expense | - | - | - | - | ||||||||||||||
Other adjustments, net | (568) | (470) | (2,260) | (3,492) | ||||||||||||||
Other non-cash adjustments | - | - | - | - | ||||||||||||||
Other changes in assets and liabilities, net of acquisitions and divestitures: | ||||||||||||||||||
Trade accounts receivable | (263) | (263) | (109) | 347 | ||||||||||||||
Inventories | 561 | 561 | (854) | (1,169) | ||||||||||||||
Other assets | 1,289 | 1,289 | 3,380 | (663) | ||||||||||||||
Trade accounts payable | (469) | (469) | (1,023) | (300) | ||||||||||||||
Accounts payable | - | - | - | - | ||||||||||||||
Other liabilities | (3,667) | (3,667) | (3,115) | 595 | ||||||||||||||
Other tax accounts, net | (2,805) | (2,805) | (1,345) | (982) | ||||||||||||||
Net cash provided by/(used in) operating activities from continuing operations | - | - | - | 8,700 | ||||||||||||||
Net cash provided by/(used in) operating activities from discontinued operations | - | - | - | 0 | ||||||||||||||
Accounts payable and other liabilities | - | - | - | - | ||||||||||||||
Net cash provided by/(used in) operating activities | 13,401 | 11,704 | 12,744 | 8,700 | ||||||||||||||
Investing Activities | ||||||||||||||||||
Purchases of property, plant and equipment | (2,416) | (2,629) | (2,909) | (3,907) | ||||||||||||||
Purchases of short-term investments | (13,384) | (14,356) | (10,133) | (30,974) | ||||||||||||||
Proceeds from redemptions/sales of short-term investments | 14,073 | 17,959 | 4,128 | 39,264 | ||||||||||||||
Net (purchases of)/proceeds from redemptions/sales of short-term investments with original maturities of three months or less | 379 | (2,675) | 3,136 | 5,174 | ||||||||||||||
Proceeds from redemptions and sales of short-term investments with original maturities greater than 90 days | - | - | - | - | ||||||||||||||
Net (purchases of)/proceeds from redemptions/sales of short-term investments with original maturities of three months or less | - | - | - | - | ||||||||||||||
Purchases of long-term investments | (303) | (294) | (180) | (204) | ||||||||||||||
Proceeds from redemptions/sales of long-term investments | 1,122 | 1,095 | 1,570 | 1,979 | ||||||||||||||
Proceeds from partial sales of investment in Haleon | - | 6,311 | 7,040 | - | ||||||||||||||
Proceeds from redemptions and sales of long-term investments | - | - | - | - | ||||||||||||||
Proceeds from redemptions of short-term loans | - | - | - | - | ||||||||||||||
Issuances of short-term loans | - | - | - | - | ||||||||||||||
Proceeds from redemptions of long-term loans | - | - | - | - | ||||||||||||||
Issuances of long-term loans | - | - | - | - | ||||||||||||||
Acquisitions of businesses, net of cash acquired | (6,927) | (6,927) | 0 | (43,430) | ||||||||||||||
Dividend received from the Consumer Healthcare JV | - | - | 0 | 0 | ||||||||||||||
Acquisitions of intangible assets | - | - | - | - | ||||||||||||||
Proceeds from sale of businesses | - | - | - | - | ||||||||||||||
Other investing activities, net | (102) | 165 | 2 | (179) | ||||||||||||||
Net cash provided by/(used in) investing activities from continuing operations | - | - | - | (32,278) | ||||||||||||||
Net cash provided by/(used in) investing activities from discontinued operations | - | - | - | 0 | ||||||||||||||
Net cash provided by/(used in) investing activities | (5,685) | (1,351) | 2,652 | (32,278) | ||||||||||||||
Financing Activities | ||||||||||||||||||
Proceeds from short-term borrowings | - | 0 | 8,907 | 4,525 | ||||||||||||||
Payments on short-term borrowings | 0 | (2,199) | (11,226) | (3) | ||||||||||||||
Increase in short-term borrowings - net | - | - | - | - | ||||||||||||||
Net (payments on)/proceeds from short-term borrowings with original maturities of three months or less | 44 | (796) | (2,590) | 3,161 | ||||||||||||||
Proceeds from issuance of long-term debt | 5,991 | 9,678 | 0 | 30,831 | ||||||||||||||
Payments on long-term debt | (4,257) | (6,757) | (2,250) | (2,569) | ||||||||||||||
Purchases of common stock | - | - | 0 | 0 | ||||||||||||||
Cash dividends paid | (9,785) | (9,771) | (9,512) | (9,247) | ||||||||||||||
Proceeds from exercise of stock options | - | - | - | - | ||||||||||||||
Other financing activities, net | (392) | (458) | (469) | (631) | ||||||||||||||
Net cash provided by/(used in) financing activities from continuing operations | - | - | - | - | ||||||||||||||
Net cash provided by/(used in) financing activities from discontinued operations | - | - | - | - | ||||||||||||||
Net cash provided by/(used in) financing activities | (8,400) | (10,304) | (17,140) | 26,066 | ||||||||||||||
Effect of exchange-rate changes on cash and cash equivalents and restricted cash and cash equivalents | 22 | 41 | (66) | (40) | ||||||||||||||
Net increase/(decrease) in cash and cash equivalents and restricted cash and cash equivalents | (661) | 91 | (1,810) | 2,448 | ||||||||||||||
Effect of exchange-rate changes on cash and cash equivalents | - | - | - | - | ||||||||||||||
Net increase/(decrease) in cash and cash equivalents | - | - | - | - | ||||||||||||||
Supplemental Cash Flow Information | ||||||||||||||||||
Exchange of $1.1 billion net book value 6.50% U.K. pound denominated bonds maturing in 2038 for $1.8 billion of new 2.735% U.K. pound denominated bonds maturing in 2043, resulting in a debt extinguishment loss of $747 million | - | - | - | - | ||||||||||||||
Receipt of ICU Medical common stock | - | - | - | - | ||||||||||||||
Promissory note from ICU Medical | - | - | - | - | ||||||||||||||
Exchange of Hospira subsidiary debt for Pfizer debt | - | - | - | - | ||||||||||||||
Sale of subsidiary common stock (Zoetis) for Pfizer common stock | - | - | - | - | ||||||||||||||
Exchange of subsidiary common stock (Zoetis) for the retirement of Pfizer commercial paper issued in 2013 | - | - | - | - | ||||||||||||||
Exchange of subsidiary senior notes (Zoetis) for the retirement of Pfizer commercial paper issued in 2012 | - | - | - | - | ||||||||||||||
Transfer of certain product rights to an equity-method investment (Hisun Pfizer) | - | - | - | - | ||||||||||||||
Contribution of an investment in connection with the resolution of a legal matter (Quigley) | - | - | - | - | ||||||||||||||
Cash paid/(received) during the period for: | ||||||||||||||||||
Contribution of an investment in connection with the resolution of a legal matter (Quigley)(d) | - | - | - | - | ||||||||||||||
Non-cash transactions-Acquisition of Wyeth, treasury stock issued | - | - | - | - | ||||||||||||||
Cash paid during the period for: | ||||||||||||||||||
Income taxes | 4,734 | 4,688 | 3,605 | 3,147 | ||||||||||||||
Interest | - | - | - | - | ||||||||||||||
Cash paid during the period for: | ||||||||||||||||||
Interest paid | 2,797 | 2,739 | 3,227 | 2,215 | ||||||||||||||
Interest rate hedges | 115 | 140 | 178 | 134 | ||||||||||||||
Non-cash transaction: | ||||||||||||||||||
Right-of-use assets obtained in exchange for lease liabilities | $ 288 | $ 288 | $ 283 | $ 614 |