Revenues Reserves for Discounts and Allowances (Details 1) $ in Millions	9 Months Ended
	Sep. 30, 2023 USD ($)
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Line Items]
Beginning Balance	$ 1,035.0
Current Provisions Relating To Sales In Current Year	2,551.9
Adjustments Relating To Prior Years	(4.4)
Payments/Returns Relating To Sales in Current Year	(1,774.7)
Payments/Returns Relating To Sales in Prior Year	(735.5)
Ending Balance	1,072.3
Discounts
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Line Items]
Beginning Balance	153.8
Current Provisions Relating To Sales In Current Year	554.1
Adjustments Relating To Prior Years	0.2
Payments/Returns Relating To Sales in Current Year	(410.4)
Payments/Returns Relating To Sales in Prior Year	(137.5)
Ending Balance	160.2
Contractual adjustments
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Line Items]
Beginning Balance	857.7
Current Provisions Relating To Sales In Current Year	1,983.6
Adjustments Relating To Prior Years	(24.5)
Payments/Returns Relating To Sales in Current Year	(1,362.3)
Payments/Returns Relating To Sales in Prior Year	(574.8)
Ending Balance	879.7
Returns
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Line Items]
Beginning Balance	23.5
Current Provisions Relating To Sales In Current Year	14.2
Adjustments Relating To Prior Years	19.9
Payments/Returns Relating To Sales in Current Year	(2.0)
Payments/Returns Relating To Sales in Prior Year	(23.2)
Ending Balance	$ 32.4