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Intangible Assets and Goodwill - Summary of Intangible Assets (Details) - USD ($)
$ in Millions
Dec. 31, 2024
Dec. 31, 2023
Finite-Lived Intangible Assets, Net [Abstract]    
Finite-Lived Intangible Assets, Gross $ 14,138.4 $ 11,728.8
Accumulated Amortization (6,254.1) (5,869.8)
Net 7,884.3 5,859.0
Intangible Assets, Net (Excluding Goodwill) [Abstract]    
Cost 15,945.3 14,232.8
Accumulated Amortization 6,254.1 5,869.8
Net 9,691.2 8,363.0
In-process research and development    
Indefinite-Lived Intangible Assets [Line Items]    
Cost and net 1,642.9 2,340.0
Priority review voucher    
Indefinite-Lived Intangible Assets [Line Items]    
Cost and net 100.0 100.0
Trademarks and trade names    
Indefinite-Lived Intangible Assets [Line Items]    
Cost and net $ 64.0 $ 64.0
Developed technology and other | Minimum    
Finite-Lived Intangible Assets [Line Items]    
Estimated life (in years) 1 year  
Developed technology and other | Maximum    
Finite-Lived Intangible Assets [Line Items]    
Estimated life (in years) 31 years