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Revenue (Summary of Revenue Recognized) (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Disaggregation of Revenue [Line Items]      
Revenues $ 28,318.4 $ 24,539.8 $ 22,319.5
Net product revenue      
Disaggregation of Revenue [Line Items]      
Revenues 25,957.9 22,694.8 20,377.3
Collaboration and other revenue      
Disaggregation of Revenue [Line Items]      
Revenues 2,360.5 1,845.0 1,942.2
Collaboration and other revenue associated with prior period transfers of intellectual property      
Disaggregation of Revenue [Line Items]      
Revenues $ 175.0 $ 135.6 $ 301.5