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Collaborations and Other Arrangements - Net Product Revenue (Details) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2024	Dec. 31, 2023	Dec. 31, 2022
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]
Revenue	$ 45,042.7	$ 34,124.1	$ 28,541.4
Jardiance
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]
Revenue	3,340.9	2,744.7	2,066.0
Basaglar
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]
Revenue	676.9	728.3	760.4
Olumiant
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]
Revenue	957.4	922.6	830.5
Tyvyt
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]
Revenue	$ 526.0	$ 393.4	$ 293.3

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