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Other Consolidated Financial Statement Detail (Details) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2022
Jun. 30, 2022
Sep. 30, 2021
Sep. 30, 2022
Sep. 30, 2021
Dec. 31, 2021
Other Income (Expense), Net            
Gain on sale of equity interest in Samsung Bioepis(1) $ 0.0   $ 0.0 $ (1,505.4) $ 0.0  
Litigation settlement agreement 0.0 $ 900.0 0.0 900.0 0.0  
Interest income (23.9)   (2.6) (39.4) (8.2)  
Interest expense 59.9   66.3 191.8 187.3  
(Gains) losses on investments, net (101.8)   424.5 167.5 707.2  
Foreign exchange (gains) losses, net 11.5   13.7 39.0 23.1  
Other, net (1.7)   1.0 25.2 4.0  
Other (income) expense (56.0)   502.9 (221.3) 913.4  
Equity Securities, FV-NI, Gain (Loss), Alternative [Abstract]            
Net (gains) losses recognized on equity securities (109.8)   424.2 158.1 705.9  
Less: Net (gains) losses realized on equity securities (0.5)   (2.7) 0.0 (9.3)  
Net unrealized (gains) losses recognized on equity securities (109.3)   $ 426.9 158.1 $ 715.2  
Accrued Expenses and Other            
Litigation settlement agreement(1) 900.0     900.0   $ 0.0
Revenue-related reserves for discounts and allowances 983.9     983.9   935.3
Collaboration expense 313.5     313.5   345.1
Royalties and licensing fees 208.6     208.6   234.7
Collaboration expense 260.1     260.1   324.7
Other 769.2     769.2   828.6
Total accrued expense and other 3,305.9     3,305.9   2,535.2
Ionis, Sangamo, Denali and Sage            
Equity Securities, FV-NI, Gain (Loss), Alternative [Abstract]            
Net unrealized (gains) losses recognized on equity securities 112.5     198.0    
Component of accrued expenses and other            
Accrued Expenses and Other            
Revenue-related reserves for discounts and allowances $ 854.5     $ 854.5   $ 802.1