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Other Consolidated Financial Statement Detail - Accrued Expense and Other (Details) - USD ($)
$ in Millions
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Collaborative arrangements and non-collaborative arrangement transactions        
Revenue-related reserves for discounts and allowances $ 1,210.8 $ 1,091.6 $ 1,062.0 $ 1,035.0
Contingent consideration obligations   291.2    
Total accrued expense and other 2,802.6 2,807.7    
Component of accrued expense and other        
Collaborative arrangements and non-collaborative arrangement transactions        
Revenue-related reserves for discounts and allowances 1,000.4 937.5    
Employee compensation and benefits 375.8 375.8    
Collaboration expense 280.0 309.0    
Royalties and licensing fees 302.4 190.2    
Contingent consideration obligations 0.0 291.2    
Other $ 844.0 $ 704.0