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Revenue (Schedule of Revenue Recognized) (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Disaggregation of Revenue [Line Items]      
Revenue $ 34,124.1 $ 28,541.4 $ 28,318.4
Net product revenue      
Disaggregation of Revenue [Line Items]      
Revenue 28,813.9 25,462.8 25,957.9
Collaboration and other revenue      
Disaggregation of Revenue [Line Items]      
Revenue 5,310.2 3,078.6 2,360.5
Collaboration and other revenue associated with prior period transfers of intellectual property      
Disaggregation of Revenue [Line Items]      
Revenue $ 191.6 $ 163.4 $ 175.0