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Stock Compensation (Details) - USD ($)
$ / shares in Units, $ in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2022
Jun. 30, 2021
Jun. 30, 2022
Jun. 30, 2021
Stock compensation        
Stock compensation expense $ 46.5 $ 44.8 $ 90.3 $ 92.1
Assumed annualized forfeiture rate (as a percent)     5.00%  
Weighted-average fair value assumptions        
Valuation method     Black-Scholes valuation model  
Dividend yield (as a percent)     0.00%  
Research and Development Expense [Member]        
Stock compensation        
Stock compensation expense 28.1 28.0 $ 54.4 57.9
Selling, General and Administrative Expenses [Member]        
Stock compensation        
Stock compensation expense 17.7 16.4 34.6 33.6
Cost of product revenues        
Stock compensation        
Stock compensation expense $ 0.7 $ 0.4 $ 1.3 $ 0.6
Employee Stock Purchase Plan        
Weighted-average fair value assumptions        
Average risk-free interest rates (as a percent) 2.92% 0.25% 2.77% 0.18%
Average expected life (in years) 6 months 6 months 6 months 6 months
Volatility (as a percent) 39.00% 26.00% 28.00% 33.00%
Weighted-average fair value (in dollars per share) $ 14.91 $ 16.14 $ 14.53 $ 18.48
Employee Stock Option        
Weighted-average fair value assumptions        
Average risk-free interest rates (as a percent) 3.04% 0.75% 1.67% 0.44%
Average expected life (in years) 5 years 6 months 3 days 5 years 3 months 25 days 4 years 9 months 7 days 4 years 10 months 2 days
Volatility (as a percent) 33.00% 38.00% 37.00% 39.00%
Weighted-average fair value (in dollars per share) $ 26.35 $ 29.55 $ 25.30 $ 29.80
Unrecognized compensation        
Unrecognized compensation cost for nonvested option (in dollars) $ 53.0   $ 53.0  
Vesting period of recognition of the unrecognized compensation cost of nonvested awards     1 year  
Restricted Stock Units (RSUs)        
Unrecognized compensation        
Unrecognized compensation cost for nonvested option (in dollars) 128.8   $ 128.8  
Vesting period of recognition of the unrecognized compensation cost of nonvested awards     1 year 7 months 6 days  
Performance Stock Units (PSUs)        
Stock compensation        
Stock compensation expense 0.1 $ 0.6 $ 1.9 $ 3.2
Unrecognized compensation        
Unrecognized compensation cost for nonvested option (in dollars) $ 22.7   $ 22.7  
Vesting period of recognition of the unrecognized compensation cost of nonvested awards     1 year 10 months 24 days