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Collaboration, License, and Other Agreements - Sanofi, Antibody Narrative (Details) - USD ($)
$ in Millions
12 Months Ended
Jul. 01, 2022
Jun. 30, 2022
Apr. 01, 2020
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Disaggregation of Revenue [Line Items]            
One-time payment       $ (56.9)    
Revenues       $ 12,172.9 $ 16,071.7 $ 8,497.1
Sanofi Collaboration Agreement, Antibody            
Disaggregation of Revenue [Line Items]            
Percentage of quarterly profits require to be paid for reimbursement of development costs       10.00%    
Percentage of share of profits used to reimburse collaborating party for trial costs 20.00% 10.00%        
Contingent reimbursement obligation       $ 2,864.0    
Starting share of profits outside the United States, based on sales, for collaborating party       65.00%    
Starting share of profits outside the United States, based on sales, for company       35.00%    
Ending share of profits outside the United States, based on sales, for collaborating party       55.00%    
Ending share of profits outside the United States, based on sales, for company       45.00%    
Share of losses outside the United States, for collaborating party       55.00%    
Share of losses outside the United States, for company       45.00%    
Sanofi Collaboration Agreement, Antibody | First Milestone            
Disaggregation of Revenue [Line Items]            
Levels of twelve month sales at which sales milestone payments would be received           $ 1,000.0
Sanofi Collaboration Agreement, Antibody | Second Milestone            
Disaggregation of Revenue [Line Items]            
Levels of twelve month sales at which sales milestone payments would be received         $ 1,500.0  
Period for achieving sales target for milestone payment, rolling basis         12 months  
Sanofi Collaboration Agreement, Antibody | Third Milestone            
Disaggregation of Revenue [Line Items]            
Revenues       $ 50.0    
Levels of twelve month sales at which sales milestone payments would be received       2,000.0    
Sanofi Collaboration Agreement, Antibody | Sales Milestone Four            
Disaggregation of Revenue [Line Items]            
Levels of twelve month sales at which sales milestone payments would be received       $ 2,500.0    
Period for achieving sales target for milestone payment, rolling basis       12 months    
Sanofi Collaboration Agreement, Antibody | Sales Milestone Five            
Disaggregation of Revenue [Line Items]            
Levels of twelve month sales at which sales milestone payments would be received       $ 3,000.0    
Period for achieving sales target for milestone payment, rolling basis       12 months    
Revenue, remaining performance obligation, variable consideration amount       $ 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%    
Percentage of quarterly profits require to be paid for reimbursement of development costs       30.00%    
Sanofi Collaboration Agreement, Antibody | Maximum            
Disaggregation of Revenue [Line Items]            
Percentage of trial costs required to be funded by collaborating party       100.00%    
Percentage of quarterly profits require to be paid for reimbursement of development costs       50.00%    
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     50.00%