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Inventory - Narrative (Details) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2022
Mar. 31, 2022
Sep. 30, 2023
Sep. 30, 2022
Dec. 31, 2022
Inventory [Line Items]          
Excess and obsolescence charges related to inventory     $ 62.1 $ 321.6  
(Gain) loss on equity method investments     $ 0.0 $ 2.6  
Percentage of future development costs related to Eisai     45.00%    
Inventory     $ 3,038.3   $ 1,365.5
Eisai          
Inventory [Line Items]          
Percentage of future development costs related to Eisai 45.00%        
ADUHELM          
Inventory [Line Items]          
Excess and obsolescence charges related to inventory $ 275.0 $ 275.0      
ADUHELM | Eisai | Centers for Medicare and Medicaid Service          
Inventory [Line Items]          
(Gain) loss on equity method investments     $ 136.0