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Collaboration, License, and Other Agreements - Sanofi, Antibody Narrative (Details) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Apr. 01, 2020
Sep. 30, 2021
Sep. 30, 2020
Sep. 30, 2021
Sep. 30, 2020
Disaggregation of Revenue [Line Items]          
Revenues   $ 3,452.8 $ 2,294.0 $ 11,120.0 $ 6,074.2
Sanofi Collaboration Agreement, Antibody          
Disaggregation of Revenue [Line Items]          
Levels of twelve-month sales at which sales milestone payments would be received       $ 1,500.0 $ 1,000.0
Period for achieving sales target for milestone payment, rolling basis       12 months 12 months
Remaining amount of sales milestone payments if total sales achieve specific levels       $ 150.0  
Sanofi Collaboration Agreement, Antibody | First Sales Milestone          
Disaggregation of Revenue [Line Items]          
Revenues     $ 50.0    
Sanofi Collaboration Agreement, Antibody | Second Sales Milestone          
Disaggregation of Revenue [Line Items]          
Revenues   $ 50.0      
Sanofi Collaboration Agreement, Antibody | Minimum          
Disaggregation of Revenue [Line Items]          
Percentage of trial costs required to be funded by collaborating party       80.00%  
Sanofi Collaboration Agreement, Antibody | Maximum          
Disaggregation of Revenue [Line Items]          
Percentage of trial costs required to be funded by collaborating party       100.00%  
Praluent Agreement          
Disaggregation of Revenue [Line Items]          
Royalty percentage to be received on net product sales outside of the United States 5.00%        
Percentage of damages company is responsible for 50.00%        
Praluent Agreement | Sanofi          
Disaggregation of Revenue [Line Items]          
Percentage of royalty payment that can be used to offset litigation proceedings (up to) 50.00%