Revenue - Schedule of Revenue Recognized (Details) - USD ($) $ in Millions	3 Months Ended		9 Months Ended
	Sep. 30, 2024	Sep. 30, 2023	Sep. 30, 2024	Sep. 30, 2023
Disaggregation of Revenue [Line Items]
Revenue	$ 11,439.1	$ 9,498.6	$ 31,509.9	$ 24,770.7
Net product revenue
Disaggregation of Revenue [Line Items]
Revenue	10,571.6	7,306.2	28,723.0	20,524.2
Collaboration and other revenue
Disaggregation of Revenue [Line Items]
Revenue	$ 867.5	$ 2,192.4	$ 2,786.9	$ 4,246.5