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Other Consolidated Financial Statement Detail - Accrued Expense and Other (Details) - USD ($)
$ in Millions
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Line Items]        
Revenue-related reserves for discounts and allowances $ 1,062.0 $ 1,035.0 $ 935.3 $ 1,276.0
Reata acquisition-related accrued expense 117.5 0.0    
Total accrued expense and other 2,623.6 2,521.4    
Component of accrued expense and other        
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Line Items]        
Revenue-related reserves for discounts and allowances 926.5 891.6    
Employee compensation and benefits 335.1 395.6    
Collaboration expense 214.6 277.9    
Royalties and licensing fees 191.5 209.4    
Other $ 838.4 $ 746.9