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Inventory - Narrative (Details) - USD ($)
$ in Millions
3 Months Ended 12 Months Ended
Jun. 30, 2022
Mar. 31, 2022
Dec. 31, 2021
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Inventory [Line Items]            
Write-downs on excess, obsolete, unmarketable or other inventory       $ 124.4 $ 336.2 $ 167.6
Income (loss) from equity method investments       $ 0.0 2.6 34.9
Eisai            
Inventory [Line Items]            
Income (loss) from equity method investments         0.0 $ 45.0
Eisai | Milestone Payments            
Inventory [Line Items]            
Percentage of future development costs       45.00%    
ADUHELM            
Inventory [Line Items]            
Write-downs on excess, obsolete, unmarketable or other inventory   $ 275.0 $ 120.0      
Income (loss) from equity method investments       $ 111.0 30.0  
ADUHELM | Eisai            
Inventory [Line Items]            
Income (loss) from equity method investments $ 45.0       $ 59.0  
ADUHELM | Centers for Medicare and Medicaid Service | Eisai            
Inventory [Line Items]            
Income (loss) from equity method investments       $ 136.0