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Goodwill and Intangibles - Components of Intangible Assets Other Than Goodwill (Details) - USD ($)
$ in Millions
Dec. 31, 2018
Dec. 31, 2017
Finite-Lived Intangible Assets [Line Items]    
Carrying Amount, Gross $ 3,246.6 $ 3,205.3
Accumulated Amortization (813.2) (629.7)
Carrying Amount, Net 2,433.4 2,575.6
Other intangibles    
Carrying Amount, Gross 3,266.2 3,302.5
Accumulated Amortization (813.2) (629.7)
Carrying Amount, Net 2,453.0 2,672.8
Acquired in-process research and development    
Indefinite-lived Intangible Assets [Line Items]    
Indefinite-lived intangible assets 19.6 97.2
Marketed products    
Finite-Lived Intangible Assets [Line Items]    
Carrying Amount, Gross 3,193.5 3,151.2
Accumulated Amortization (779.2) (599.8)
Carrying Amount, Net 2,414.3 2,551.4
Other intangibles    
Accumulated Amortization (779.2) (599.8)
Other    
Finite-Lived Intangible Assets [Line Items]    
Carrying Amount, Gross 53.1 54.1
Accumulated Amortization (34.0) (29.9)
Carrying Amount, Net 19.1 24.2
Other intangibles    
Accumulated Amortization $ (34.0) $ (29.9)