Revenue Recognition and Accounts Receivable Variable Consideration (Details) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
Disaggregation of Revenue [Line Items]
Gross sales	$ 27,662.1	$ 30,553.4	$ 19,899.1
Chargebacks	(6,192.2)	(5,530.1)	(3,656.2)
Rebates, promotional programs and other sales allowances	(4,346.2)	(6,135.6)	(3,765.5)
Returns	(296.7)	(384.6)	(329.7)
Medicaid and other governmental rebates	(608.9)	(689.5)	(327.8)
Sales Revenue, Gross to net adjustments	11,444.0	12,739.8	8,079.2
Net sales	16,218.1	17,813.6	11,819.9
Net sales
Disaggregation of Revenue [Line Items]
Net sales	$ 16,218.1	$ 17,813.6	$ 11,819.9