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Other Consolidated Financial Statement Detail - Accrued Expense and Other (Details) - USD ($)
$ in Millions
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Line Items]        
Revenue-related reserves for discounts and allowances $ 1,091.6 $ 1,062.0 $ 1,035.0 $ 935.3
Current portion of contingent consideration obligations 291.2      
Total accrued expense and other 2,807.7 2,623.6    
Component of accrued expense and other        
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Line Items]        
Revenue-related reserves for discounts and allowances 937.5 926.5    
Employee compensation and benefits 375.8 335.1    
Collaboration expense 309.0 214.6    
Royalties and licensing fees 190.2 191.5    
Current portion of contingent consideration obligations 291.2 0.0    
Other $ 704.0 $ 955.9