Income Taxes (Details)	3 Months Ended		6 Months Ended
	Jun. 30, 2023	Jun. 30, 2022	Jun. 30, 2023	Jun. 30, 2022
Reconciliation between the U.S. federal statutory tax rate and effective tax rate
Statutory rate	21.00%	21.00%	21.00%	21.00%
State taxes	1.20%	0.60%	1.20%	0.40%
Taxes on foreign earnings	(4.70%)	(3.80%)	(5.00%)	(5.30%)
Credits and net operating loss utilization	(2.00%)	(1.40%)	(3.70%)	(1.60%)
Purchased intangible assets	0.30%	0.10%	0.30%	0.20%
GILTI	0.20%	0.20%	0.30%	0.20%
Sale of Samsung Bioepis	0.00%	(3.70%)	0.00%	(2.90%)
Litigation settlement agreement	0.00%	8.50%	0.00%	6.70%
Neurimmune tax impacts	0	0	0	0.052
International reorganization	0.00%	(4.00%)	0.00%	(3.10%)
Other	0.20%	(0.40%)	0.30%	0.40%
Effective tax rate	16.20%	17.10%	14.40%	21.20%