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Revenues - Other Revenues (Details) - USD ($)
$ in Millions
3 Months Ended 12 Months Ended
Dec. 31, 2020
Sep. 30, 2020
Jun. 30, 2020
Mar. 31, 2020
Dec. 31, 2019
Sep. 30, 2019
Jun. 30, 2019
Mar. 31, 2019
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Disaggregation of Revenue [Line Items]                      
Total revenues $ 2,852.6 $ 3,376.1 $ 3,681.6 $ 3,534.3 $ 3,671.3 $ 3,600.1 $ 3,616.7 $ 3,489.8 $ 13,444.6 $ 14,377.9 $ 13,452.9
Royalty                      
Disaggregation of Revenue [Line Items]                      
Total revenues                 33.9 17.0 38.7
Other corporate                      
Disaggregation of Revenue [Line Items]                      
Total revenues                 719.1 584.5 459.4
Total other revenues                      
Disaggregation of Revenue [Line Items]                      
Total revenues $ 132.0 $ 125.7 $ 407.6 $ 109.3 $ 145.7 $ 109.6 $ 160.0 $ 292.4 774.6 707.7 585.9
Collaborative Arrangement | Samsung Bioepis                      
Disaggregation of Revenue [Line Items]                      
Total revenues                 20.9 106.2 96.4
Collaborative Arrangement | Other Relationships                      
Disaggregation of Revenue [Line Items]                      
Total revenues                 $ 0.7 $ 0.0 $ (8.6)