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Unaudited Quarterly Results - Schedule of unaudited quarterly results (Details) - USD ($)
$ / shares in Units, $ in Millions
3 Months Ended 12 Months Ended
Dec. 31, 2020
Sep. 30, 2020
Jun. 30, 2020
Mar. 31, 2020
Dec. 31, 2019
Sep. 30, 2019
Jun. 30, 2019
Mar. 31, 2019
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Quarterly Financial Information Disclosure [Abstract]                      
Revenues $ 2,422.9 $ 2,294.0 $ 1,952.0 $ 1,828.2 $ 1,863.5 $ 1,743.7 $ 1,577.8 $ 1,372.6 $ 8,497.1 $ 6,557.6 $ 5,145.6
Operating expenses 1,255.9 1,240.9 1,295.6 1,128.1 1,187.8 1,005.2 1,262.2 892.6 4,920.5 4,347.8 2,611.2
Net income $ 1,149.2 $ 842.1 $ 897.3 $ 624.6 $ 792.0 $ 669.6 $ 193.1 $ 461.1 $ 3,513.2 $ 2,115.8 $ 2,444.4
Net income per share - basic (in dollars per share) $ 10.90 $ 7.98 $ 8.19 $ 5.69 $ 7.25 $ 6.12 $ 1.77 $ 4.23 $ 32.65 $ 19.38 $ 22.65
Net income per share - diluted (in dollars per shares) $ 10.24 $ 7.39 $ 7.61 $ 5.43 $ 6.93 $ 5.86 $ 1.68 $ 3.99 $ 30.52 $ 18.46 $ 21.29
Amgen v.s. Regeneron                      
Disaggregation of Revenue [Line Items]                      
Reversal of accruals for litigation-related contingencies $ 95.0                    
Intellia Collaboration Agreement                      
Disaggregation of Revenue [Line Items]                      
Upfront payment made     $ 85.0                
Sanofi IO, Teva and MTPC Collaboration Agreements                      
Disaggregation of Revenue [Line Items]                      
Cumulative catch-up adjustment to revenue, modification of contract $ 99.8                    
Alnylam Pharmaceuticals, Inc. Collaboration Agreement                      
Disaggregation of Revenue [Line Items]                      
Upfront payment made             $ 400.0     $ 400.0