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Collaborations and Other Arrangements - Net Product Revenue (Details) - USD ($) $ in Millions	3 Months Ended		6 Months Ended
	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]
Revenue	$ 11,302.8	$ 8,312.1	$ 20,070.8	$ 15,272.1
Jardiance
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]
Revenue	769.6	668.3	1,456.1	1,245.8
Basaglar
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]
Revenue	180.8	154.2	338.3	363.5
Trajenta
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]
Revenue	76.6	103.6	165.5	189.5
Olumiant
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]
Revenue	227.7	218.9	445.1	447.8
Tyvyt
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]
Revenue	$ 123.0	$ 103.6	$ 239.7	$ 164.6

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