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Inventory - Narrative (Details) - USD ($)
$ in Millions
3 Months Ended 12 Months Ended
Dec. 31, 2021
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Inventory [Line Items]        
Write-downs on excess, obsolete, unmarketable or other inventory   $ 167.6 $ 26.6 $ 52.2
Inventory $ 1,351.5 1,351.5 $ 1,068.6  
ADUHELM        
Inventory [Line Items]        
Write-downs on excess, obsolete, unmarketable or other inventory 120.0      
Inventory $ 223.0 $ 223.0