v3.26.3
Intangible Assets and Goodwill - Summary of Intangible Assets (Details) - USD ($)
$ in Millions
Sep. 30, 2026
Dec. 31, 2025
Intangible Asset, Finite-Lived, after Accumulated Amortization [Abstract]    
Intangible Asset, Finite-Lived, before Accumulated Amortization $ 18,713.7 $ 14,067.3
Accumulated Amortization (7,165.1) (6,687.8)
Net 11,548.6 7,379.5
Intangible Asset, Excluding Goodwill, after Accumulated Amortization [Abstract]    
Cost 20,545.0 15,866.3
Accumulated Amortization 7,165.1 6,687.8
Net $ 13,379.9 $ 9,178.5
Minimum    
Intangible Asset, Finite-Lived [Line Items]    
Estimated life (in years) 1 year 1 year
Maximum    
Intangible Asset, Finite-Lived [Line Items]    
Estimated life (in years) 30 years 30 years
In-process research and development    
Intangible Asset, Indefinite-Lived [Line Items]    
Cost and net $ 1,667.3 $ 1,635.0
Priority review voucher    
Intangible Asset, Indefinite-Lived [Line Items]    
Cost and net 100.0 100.0
Trademarks and trade names    
Intangible Asset, Indefinite-Lived [Line Items]    
Cost and net $ 64.0 $ 64.0