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Stockholders' Equity - Narrative (Details)
1 Months Ended 12 Months Ended 14 Months Ended
May 31, 2020
USD ($)
shares
Dec. 31, 2021
USD ($)
vote
$ / shares
shares
Dec. 31, 2020
USD ($)
$ / shares
shares
Dec. 31, 2019
USD ($)
Dec. 31, 2020
USD ($)
$ / shares
shares
Nov. 30, 2021
USD ($)
Jan. 31, 2021
USD ($)
Nov. 30, 2019
USD ($)
Class of Stock [Line Items]                
Preferred Stock, shares authorized (in shares) | shares   30,000,000 30,000,000   30,000,000      
Sanofi                
Class of Stock [Line Items]                
Cost of stock repurchased | $ $ 5,000,000,000              
Number of shares sold (in shares) | shares 13,014,646              
Treasury stock, shares acquired (in shares) | shares 9,806,805              
Common Stock, shares outstanding (in shares) | shares 400,000              
Libtayo Development and Dupilumab/Itepekimab Eligible Investments                
Class of Stock [Line Items]                
Cost of stock repurchased | $     $ 135,000,000 $ 102,700,000        
Bayer                
Class of Stock [Line Items]                
Maximum percentage of outstanding shares that may be acquired, under 'standstill' provisions   20.00%            
Teva                
Class of Stock [Line Items]                
Maximum percentage of outstanding shares that may be acquired, under 'standstill' provisions   5.00%            
2019 Share Repurchase Program                
Class of Stock [Line Items]                
Stock repurchase program, authorized amount | $               $ 1,000,000,000
Cost of stock repurchased | $         $ 1,000,000,000      
January 2021 Share Repurchase Program                
Class of Stock [Line Items]                
Stock repurchase program, authorized amount | $             $ 1,500,000,000  
November 2021 Share Repurchase Program                
Class of Stock [Line Items]                
Stock repurchase program, authorized amount | $           $ 3,000,000,000    
Remaining authorized repurchase amount | $   $ 2,845,000,000            
Class A Stock                
Class of Stock [Line Items]                
Common Stock, shares authorized (in shares) | shares   40,000,000 40,000,000   40,000,000      
Common Stock, par value (in dollars per share) | $ / shares   $ 0.001 $ 0.001   $ 0.001      
Number of votes per share | vote   10            
Common Stock, shares outstanding (in shares) | shares   1,823,283 1,848,970   1,848,970      
Common Stock                
Class of Stock [Line Items]                
Common Stock, shares authorized (in shares) | shares   320,000,000 320,000,000   320,000,000      
Common Stock, par value (in dollars per share) | $ / shares   $ 0.001 $ 0.001   $ 0.001      
Number of votes per share | vote   1