Revenue Recognition and Accounts Receivable Variable Consideration Rollforward (Details) $ in Millions	12 Months Ended
	Dec. 31, 2021 USD ($)
Accounts Receivable, Variable Consideration [Roll Forward]
Beginning of period	$ 4,843.8
End of period	4,266.4
Variable Consideration [Member]
Accounts Receivable, Variable Consideration [Roll Forward]
Beginning of period	3,014.7
Current Provision Related to Sales Made in the Current Period	12,739.8
Measurement Period Adjustments and Reclasses	385.4
Checks/ Credits Issued to Third Parties	(13,056.7)
Effects of Foreign Exchange	(32.5)
End of period	3,050.7
Variable Consideration [Member] | Chargebacks [Member]
Accounts Receivable, Variable Consideration [Roll Forward]
Beginning of period	585.2
Current Provision Related to Sales Made in the Current Period	5,530.1
Measurement Period Adjustments and Reclasses	63.4
Checks/ Credits Issued to Third Parties	(5,585.4)
Effects of Foreign Exchange	(1.6)
End of period	591.7
Variable Consideration [Member] | Rebates, Promotional Programs and Other Sales Allowances [Member]
Accounts Receivable, Variable Consideration [Roll Forward]
Beginning of period	1,576.3
Current Provision Related to Sales Made in the Current Period	6,135.6
Measurement Period Adjustments and Reclasses	(57.6)
Checks/ Credits Issued to Third Parties	(6,267.1)
Effects of Foreign Exchange	(14.2)
End of period	1,373.0
Variable Consideration [Member] | Variable Consideration Returns [Member]
Accounts Receivable, Variable Consideration [Roll Forward]
Beginning of period	539.9
Current Provision Related to Sales Made in the Current Period	384.6
Measurement Period Adjustments and Reclasses	269.0
Checks/ Credits Issued to Third Parties	(499.0)
Effects of Foreign Exchange	(7.7)
End of period	686.8
Variable Consideration [Member] | Governmental Rebate Programs [Member]
Accounts Receivable, Variable Consideration [Roll Forward]
Beginning of period	313.3
Current Provision Related to Sales Made in the Current Period	689.5
Measurement Period Adjustments and Reclasses	110.6
Checks/ Credits Issued to Third Parties	(705.2)
Effects of Foreign Exchange	(9.0)
End of period	$ 399.2