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Consolidated Condensed Statements of Operations (Unaudited) - USD ($)
shares in Millions
 3 Months Ended 6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Jun. 30, 2024
Jun. 30, 2023
Income Statement [Abstract]        
Revenue (Note 2) $ 11,302,800,000 $ 8,312,100,000 $ 20,070,800,000 $ 15,272,100,000
Costs, expenses, and other:        
Cost of sales 2,170,200,000 1,807,400,000 3,843,700,000 3,434,100,000
Research and development 2,711,200,000 2,356,500,000 5,234,000,000 4,341,600,000
Marketing, selling, and administrative 2,117,300,000 1,925,400,000 4,069,500,000 3,674,600,000
Acquired in-process research and development (Note 3) 154,300,000 97,100,000 264,800,000 202,100,000
Asset impairment, restructuring, and other special charges (Note 5) 435,000,000 0 435,000,000.0 0
Other–net, (income) expense (Note 12) 197,600,000 36,800,000 170,500,000 1,100,000
Costs, expenses, and other 7,785,600,000 6,223,200,000 14,017,500,000 11,653,500,000
Income before income taxes 3,517,200,000 2,088,900,000 6,053,300,000 3,618,600,000
Income taxes (Note 8) 550,200,000 325,700,000 843,400,000 510,500,000
Net income $ 2,967,000,000 $ 1,763,200,000 $ 5,209,900,000 $ 3,108,100,000
Earnings per share:        
Basic (in dollars per share) $ 3.29 $ 1.96 $ 5.78 $ 3.45
Diluted (in dollars per share) $ 3.28 $ 1.95 $ 5.76 $ 3.44
Shares used in calculation of earnings per share:        
Basic (in shares) 900.9 899.7 900.8 900.3
Diluted (in shares) 904.2 902.7 904.0 903.0