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Acquisitions - Preliminary Purchase Price Allocation (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Jul. 02, 2024
Dec. 31, 2023
Sep. 27, 2023
Sep. 26, 2023
Dec. 31, 2022
Business Acquisition [Line Items]            
Goodwill(1) $ 6,478.9   $ 6,219.2     $ 5,749.0
Measurement Period Adjustments, Other current assets 1.0          
Measurement Period Adjustments, Accrued expense and other 8.8          
Measurement Period Adjustments, Goodwill 4.7          
Measurement Period Adjustments, Deferred income taxes, decrease 3.1          
Reata Pharmaceuticals, Inc            
Business Acquisition [Line Items]            
Cash and cash equivalents 267.3          
Accounts receivable 15.9          
Inventory 1,259.0       $ 1,300.0  
Other current assets(1) 54.6          
Operating lease assets 121.2     $ 121.2    
Accounts payable (110.3)          
Debt payable (159.9)          
Contingent payable to Blackstone (300.0)          
Deferred tax liability(1) (909.3)          
Operating lease liabilities (151.8)     (151.8)    
Other assets and liabilities, net (2.5)          
Total identifiable net assets 6,724.2          
Goodwill(1) 469.2     469.2    
Total assets acquired and liabilities assumed 7,193.4          
Reata Pharmaceuticals, Inc | Completed technology for SKYCLARYS (U.S.)            
Business Acquisition [Line Items]            
Intangible assets: 4,200.0     4,200.0 4,200.0  
Reata Pharmaceuticals, Inc | In-process research and development (omaveloxolone)            
Business Acquisition [Line Items]            
Intangible assets: 2,300.0     2,300.0 2,300.0  
Reata Pharmaceuticals, Inc | Priority review voucher            
Business Acquisition [Line Items]            
Intangible assets: 100.0       $ 100.0  
Reata Pharmaceuticals, Inc | Other clinical programs            
Business Acquisition [Line Items]            
Intangible assets: $ 40.0     $ 40.0    
Human Immunology Biosciences            
Business Acquisition [Line Items]            
Cash and cash equivalents   $ 62.5        
Intangible assets:   1,600.0        
Prepaid expense and other assets   1.0        
Operating lease assets   1.2        
Accounts payable   (1.1)        
Accrued liabilities   (35.0)        
Deferred tax liability(1)   (304.4)        
Operating lease liabilities   (1.2)        
Total identifiable net assets   1,365.9        
Goodwill(1)   256.5        
Total assets acquired and liabilities assumed   1,622.4        
Human Immunology Biosciences | Felzartamab (IgAN)            
Business Acquisition [Line Items]            
Intangible assets:   920.0        
Human Immunology Biosciences | Felzartamab (AMR)            
Business Acquisition [Line Items]            
Intangible assets:   450.0        
Human Immunology Biosciences | Felzartamab (PMN)            
Business Acquisition [Line Items]            
Intangible assets:   265.0        
Human Immunology Biosciences | In-process research and development (omaveloxolone) | Felzartamab (IgAN)            
Business Acquisition [Line Items]            
Intangible assets:   920.0        
Human Immunology Biosciences | In-process research and development (omaveloxolone) | Felzartamab (AMR)            
Business Acquisition [Line Items]            
Intangible assets:   450.0        
Human Immunology Biosciences | In-process research and development (omaveloxolone) | Felzartamab (PMN)            
Business Acquisition [Line Items]            
Intangible assets:   265.0        
Human Immunology Biosciences | Other clinical programs            
Business Acquisition [Line Items]            
Intangible assets:   $ 7.9