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Contingencies (Details)
$ in Millions
9 Months Ended
Apr. 13, 2023
patent
Dec. 19, 2022
Sep. 30, 2023
USD ($)
Plaintiff
company
case
Jul. 27, 2023
motion_for_summary_judgment
Dec. 31, 2022
USD ($)
Pending Litigation | Commercial and Other Litigation          
Loss Contingencies [Line Items]          
Loss contingency, pending claims | case     2    
Loss contingency, number of plaintiffs | Plaintiff     2    
Loss contingency, number of motion for summary judgments | motion_for_summary_judgment       2  
Legal Defense Costs          
Loss Contingencies [Line Items]          
Legal defense costs reserve | $     $ 220.0   $ 230.0
Zetia antitrust litigation          
Loss Contingencies [Line Items]          
Loss related to litigation settlement | $     $ 572.5    
Complaint Against The Johns Hopkins University | Pending Litigation          
Loss Contingencies [Line Items]          
Loss contingency, number of patents allegedly infringed | patent 9        
Gardasil/Gardasil 9 | Pending Litigation | U.S.          
Loss Contingencies [Line Items]          
Loss contingency, pending claims | case     95    
Gardasil/Gardasil 9 | Pending Litigation | Non-US          
Loss Contingencies [Line Items]          
Loss contingency, pending claims | case     15    
Bridion | Patents          
Loss Contingencies [Line Items]          
Loss contingency, claims settled | company     5    
Bridion | Patents | Pending Litigation          
Loss Contingencies [Line Items]          
Loss contingency, pending claims | company     2    
Loss contingency, trial period   1 day      
Januvia and Janumet | Patents          
Loss Contingencies [Line Items]          
Loss contingency, claims settled | company     26