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Other Consolidated Financial Statement Detail (Details) - USD ($)
$ in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Dec. 31, 2019
Other Income (Expense), Net          
Interest income $ 7.6 $ 29.1 $ 32.0 $ 60.3  
Interest expense (66.0) (47.7) (110.3) (95.6)  
Gain (loss) on investments, net 106.8 (173.4) 29.5 203.0  
Foreign exchange gains (losses), net 10.4 1.7 (8.5) (0.5)  
Other, net 4.2 (7.1) (0.2) (7.3)  
Total other income (expense), net 63.0 (197.4) (57.5) 159.9  
Equity Securities, FV-NI, Gain (Loss), Alternative [Abstract]          
Net gains (losses) recognized during the period on equity securities 102.9 (174.2) 42.0 201.9  
Less: Net gains (losses) recognized during the period on equity securities sold during the period 0.0 (42.9) 0.0 (42.4)  
Unrealized gains (losses) recognized during the period on equity securities held as of March 31 102.9 $ (131.3) 42.0 $ 159.5  
Accrued Expenses and Other          
Revenue-related reserves for discounts and allowances 1,174.7   1,174.7   $ 1,198.9
Collaboration expenses 212.0   212.0   309.1
Royalties and licensing fees 203.0   203.0   220.9
Collaboration expenses 172.9   172.9   281.6
Current portion of contingent consideration obligations 149.1   149.1   148.4
Construction in progress 24.1   24.1   78.0
Other 774.1   774.1   726.7
Total accrued expenses and other 2,486.5   2,486.5   2,765.8
Component of accrued expenses and other          
Accrued Expenses and Other          
Revenue-related reserves for discounts and allowances $ 951.3   $ 951.3   $ 1,001.1