Revenues Reserves for Discounts and Allowances (Details 1) $ in Millions	6 Months Ended
	Jun. 30, 2022 USD ($)
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Line Items]
Beginning Balance	$ 935.3
Current Provisions Relating To Sales In Current Year	1,690.2
Adjustments Relating To Prior Years	(64.3)
Payments/Returns Relating To Sales in Current Year	(1,077.1)
Payments/Returns Relating To Sales in Prior Year	(500.3)
Ending Balance	983.8
Discounts
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Line Items]
Beginning Balance	137.7
Current Provisions Relating To Sales In Current Year	337.7
Adjustments Relating To Prior Years	(1.1)
Payments/Returns Relating To Sales in Current Year	(243.8)
Payments/Returns Relating To Sales in Prior Year	(98.4)
Ending Balance	132.1
Contractual adjustments
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Line Items]
Beginning Balance	759.6
Current Provisions Relating To Sales In Current Year	1,346.1
Adjustments Relating To Prior Years	(58.6)
Payments/Returns Relating To Sales in Current Year	(833.3)
Payments/Returns Relating To Sales in Prior Year	(391.3)
Ending Balance	822.5
Returns
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Line Items]
Beginning Balance	38.0
Current Provisions Relating To Sales In Current Year	6.4
Adjustments Relating To Prior Years	(4.6)
Payments/Returns Relating To Sales in Current Year	0.0
Payments/Returns Relating To Sales in Prior Year	(10.6)
Ending Balance	$ 29.2