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Acquisitions - Narrative (Details) - USD ($) $ / shares in Units, $ in Millions |  |  | 1 Months Ended | 3 Months Ended | 9 Months Ended
--- | --- | --- | --- | --- | ---
May 23, 2024 | Dec. 27, 2023 | May 31, 2024 | Dec. 31, 2023 | Sep. 30, 2024 | Sep. 30, 2023 | Sep. 30, 2024 | Sep. 30, 2023
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Acquired in-process research and development |  |  |  |  | $ 2,826.4 | $ 2,975.1 | $ 3,091.2 | $ 3,177.2
NexPharm Parent HoldCo, LLC and Isopro Holdings, LLC |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Cash paid, net of cash acquired | $ 924.7 |  | $ 924.7 |  |  |  |  |
Point Biopharma Global Inc |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Business acquisition, share price (in dollars per share) |  |  |  | $ 12.50 |  |  |  |
Cash paid for acquisitions, net of cash acquired |  | $ 1,035.8 |  | $ 1,040.0 |  |  |  |

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