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Collaborative and Other Relationships - Ionis (Details) - USD ($)
shares in Millions, $ in Millions
1 Months Ended 12 Months Ended
Dec. 31, 2019
Jun. 30, 2018
Dec. 31, 2017
Sep. 30, 2013
Dec. 31, 2012
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2016
Dec. 31, 2018
Collaborative arrangements and non-collaborative arrangement transactions                    
Cost of sales, excluding amortization and impairment of acquired intangible assets           $ 2,278.3 $ 2,109.7 $ 1,805.2    
Research and development           2,231.1 2,501.2 3,990.9    
Ionis Pharmaceuticals                    
Collaborative arrangements and non-collaborative arrangement transactions                    
License fee       $ 70.0 $ 70.0          
Expected license fee and regulatory milestone payments       $ 130.0 $ 130.0          
Research and development expense asset acquired $ 45.0                  
Additional milestone payment 155.0                  
Term of collaboration agreement   10 years   6 years            
Total payment to enter collaboration agreement   $ 1,000.0                
Upfront payment for collaboration agreement   375.0                
Purchase of common stock   $ 625.0                
Investment in common stock, shares purchased (in shares)   11.5                
Prepaid research and discovery services   $ 50.9                
Research and development   324.1       10.0 22.5 11.3    
Estimated additional payments upon achievement of development and commercial milestones     $ 260.0              
Upfront and milestone payments made to collaborative partner     25.0              
Expected additional milestone payments when certain sales threshold is met     $ 800.0              
Ionis Pharmaceuticals | SPINRAZA                    
Collaborative arrangements and non-collaborative arrangement transactions                    
Cost of sales, excluding amortization and impairment of acquired intangible assets           243.1 267.1 286.6    
Ionis Pharmaceuticals | BIIB115                    
Collaborative arrangements and non-collaborative arrangement transactions                    
Upfront payment for collaboration agreement             60.0      
Ionis Pharmaceuticals | SOD1                    
Collaborative arrangements and non-collaborative arrangement transactions                    
Research and development           $ 17.0 $ 10.0 $ 28.0    
Estimated additional payments upon achievement of development and commercial milestones                   $ 55.0
Ionis Pharmaceuticals | BIIB080                    
Collaborative arrangements and non-collaborative arrangement transactions                    
Research and development expense asset acquired $ 10.0                  
Ionis Pharmaceuticals | Minimum                    
Collaborative arrangements and non-collaborative arrangement transactions                    
Estimated additional payments upon achievement of development and commercial milestones   125.0                
Ionis Pharmaceuticals | Minimum | SPINRAZA                    
Collaborative arrangements and non-collaborative arrangement transactions                    
Percentage of royalties as per collaboration           11.00%     11.00%  
Ionis Pharmaceuticals | Maximum                    
Collaborative arrangements and non-collaborative arrangement transactions                    
Estimated additional payments upon achievement of development and commercial milestones   $ 270.0                
Ionis Pharmaceuticals | Maximum | SPINRAZA                    
Collaborative arrangements and non-collaborative arrangement transactions                    
Percentage of royalties as per collaboration           15.00%     15.00%