Revenues Reserves for Discounts and Allowances (Details 1) $ in Millions	9 Months Ended
	Sep. 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	2,501.4
Adjustments Relating To Prior Years	(28.6)
Payments/Returns Relating To Sales in Current Year	(1,821.6)
Payments/Returns Relating To Sales in Prior Year	(602.6)
Ending Balance	983.9
Discounts
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Line Items]
Beginning Balance	137.7
Current Provisions Relating To Sales In Current Year	499.3
Adjustments Relating To Prior Years	(2.5)
Payments/Returns Relating To Sales in Current Year	(379.6)
Payments/Returns Relating To Sales in Prior Year	(124.5)
Ending Balance	130.4
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	1,993.6
Adjustments Relating To Prior Years	(18.4)
Payments/Returns Relating To Sales in Current Year	(1,442.0)
Payments/Returns Relating To Sales in Prior Year	(463.7)
Ending Balance	829.1
Returns
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Line Items]
Beginning Balance	38.0
Current Provisions Relating To Sales In Current Year	8.5
Adjustments Relating To Prior Years	(7.7)
Payments/Returns Relating To Sales in Current Year	0.0
Payments/Returns Relating To Sales in Prior Year	(14.4)
Ending Balance	$ 24.4