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Indebtedness (Details) - USD ($)
$ in Millions
Dec. 31, 2018
Dec. 31, 2017
Current portion:    
Current portion of notes payable $ 0.0 $ 3.2
Non-current portion:    
Non-current notes payable 6,000.0  
Non-current portion of notes payable 5,936.5 5,935.0
Note payable to Fumedica    
Current portion:    
Notes payable to Fumedica AG 0.0 3.2
2.90% Senior Notes due 2020    
Non-current portion:    
Non-current notes payable 1,480.8 1,482.4
3.625% Senior Notes due 2022    
Non-current portion:    
Non-current notes payable 995.5 994.3
4.05% Senior Notes due 2025    
Non-current portion:    
Non-current notes payable 1,737.8 1,736.3
5.20% Senior Notes due 2045    
Non-current portion:    
Non-current notes payable $ 1,722.4 $ 1,722.0