Revenue Recognition and Accounts Receivable Variable Consideration Rollforward (Details) $ in Millions	12 Months Ended
	Dec. 31, 2022 USD ($)
Accounts Receivable, Variable Consideration [Roll Forward]
Beginning of period	$ 4,266.4
End of period	3,814.5
Variable Consideration
Accounts Receivable, Variable Consideration [Roll Forward]
Beginning of period	3,050.7
Current Provision Related to Sales Made in the Current Period	11,444.0
Balances Divested	(318.6)
Checks/ Credits Issued to Third Parties	(11,433.1)
Effects of Foreign Exchange	(55.5)
End of period	2,687.5
Variable Consideration | Chargebacks
Accounts Receivable, Variable Consideration [Roll Forward]
Beginning of period	591.7
Current Provision Related to Sales Made in the Current Period	6,192.2
Balances Divested	(53.4)
Checks/ Credits Issued to Third Parties	(6,205.6)
Effects of Foreign Exchange	(1.5)
End of period	523.4
Variable Consideration | Rebates, Promotional Programs and Other Sales Allowances
Accounts Receivable, Variable Consideration [Roll Forward]
Beginning of period	1,373.0
Current Provision Related to Sales Made in the Current Period	4,346.2
Balances Divested	(215.1)
Checks/ Credits Issued to Third Parties	(4,177.5)
Effects of Foreign Exchange	(42.4)
End of period	1,284.2
Variable Consideration | Variable Consideration Returns
Accounts Receivable, Variable Consideration [Roll Forward]
Beginning of period	686.8
Current Provision Related to Sales Made in the Current Period	296.7
Balances Divested	(16.0)
Checks/ Credits Issued to Third Parties	(447.6)
Effects of Foreign Exchange	(6.5)
End of period	513.4
Variable Consideration | Governmental Rebate Programs
Accounts Receivable, Variable Consideration [Roll Forward]
Beginning of period	399.2
Current Provision Related to Sales Made in the Current Period	608.9
Balances Divested	(34.1)
Checks/ Credits Issued to Third Parties	(602.4)
Effects of Foreign Exchange	(5.1)
End of period	$ 366.5